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No.9-?~ ~t'~
Civil Term
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Court of Common Pleas
Cumbo Co.
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UC,728 AEV ,.07
IN TliE COURT OF COMMON PLEAS OF
C:IJMOBI1LIINP COUNTY, PENNSYLVANIA
DOCKET #q'T' (,01-110 ~ ....:..;.i)
DATE,ENTERED '\v rp,
CERTIFIED COpy OF LIEN
llq ,c.x:,W! C lJ..JI ~.l:1'ID~ IU\ G;ii%,O
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
PursuDntto Section 308,1 01 the
Pennsylvania Unemployment
Compens~tlon Lew, 43 P,S, g 766,1,
this la a Certified Copy 01 Lien lor
unpaid unemployment compensation
contrlt)utlons, Interest and penalties to
be entered of record by you and
Indexed as judgments are Indexed,
.
vs.
SBM MINERAL SYSTEMS
INC
122 BEECH ST
CIIRLI/lLE PII .17013
.,
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18974 I>
AD Number: 272606
OTRiYR,
CONTRIBUTION
PAID/CREDIT
16.36
1,818.77
!.ljl~""r.' !Jl;[ 0 IJhPAIU Ilth"'~l' lJvl, ~
CONrnlUUfIOt'l: ANLl I 0/1 ~AH RI,POIHi
CON11l1llUTlON "Am LAlli. UI5~ONOIlEn l;t<eCl<.
oue
BALANCe
.00
250.00
.00
.00
4-96 WI::
4-96
16.36
1,818.77
44.66
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Addlllonat Interest IS to be computed on Ihe IIbove balanc. of unpaid unemployment
compunsatlon contributions II the ral. determined by the Secr.tary of R.venl,lB
under seotlon S06 of the Fleoel Cod., 72 p,s ! a06, pe' month, or treotlon of .
month, from 11 / 3 0 11 997 ,
Total,
filing fee(s)
Additional Legal Costs
Additional Interest
Satlalactlon Amount
44.55
294.66
9.00
250.00
Tn. ljl'ldlrtlgn.a, Ol'.clor, Burlll.l of EfI'\llloy.r fI)r OIl.r.\lonl, 01"1"1111"1 01 i..bor .nd InCluIUY. cenl'", tn.l tlll'l .DOYI vn.mploym."t complnllllon co"Wl:lullonl. Int.rlll lnd pln,ftl.1
Ilt, 01.1' .na plylbll Dy "" .DO'II nlm.o Olllnoln! una.! lhl ploVllion, of In. j;IMlylvlnll UnlmllloYl11lnl Comp."..tlon i..w, "urtulnllo hcllo" 30e,' 01 IIld I.IW, .i3 ",8. . 78e.',
Ill' 'hO~1 contllDutionl, Inl.rlll '''0 p'''IIUIl II. .llln VIlO" IIl.lrlncnllll Ino prop.rty, DOth rill I"" p.r.onll, Inclvdlnll IfI.r ICQUII.d PloPlrty. olll'l. abov. namld dlllnd."t Ind
.nat~ Illlrllo 110m Ill. e1"1 of .ntry 0' Ihl' C,nlh.o Copy 01 w.n: '
II /03 / UlilL-
DATe
TO 8~ H~T^IN8D 81 RECORDING OFFICE
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IN THE COURT OF COMMON I'WAS Oil . 'II M 111':111 0/1111 1
COUNTY, III'.NNSY1.V ANIA
COMMONWEALTIi OF I'ENNSYLVANIA
DEPARTMENT OF LAIlOR & INDUSTRY
to the use: of the
UNEMPLOYMENT COMI'ENSATION I1UND
J)ockUI Number 9" M10 OlV
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SBM MINERIIL sVSTEMS INC
122 BEECH STREET
CIIRLISLE PII 17013
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, AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
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NOW, 10 wit, MAY 16, 2000 lhe commonwealth of Pennsylvania,
Department of Labor and Induslry, to the use of the Unemployment Compensation Fund,
Plaintiff In the above action, through ilS Chief Counsel, by I!!; Dc:puty Chief Counsel for
Employment Security, acknowledges having received of the Dcfendanl above named full
payment and satlsfaclion of the above captioned Lien, with, the interest and eos!!; lhereon due
It; and desire that satisfaction be entered upon Ihe records lhereof.
AND you, Ihe Prolhonotary of 'said Court, upon receipt by you of your costs, are
hereby aUlhorlzcd and empowered, Inlhe name and stead of Ihe Plaintiff, to enler full
satisfaction upon lhe record of said Lien as fully and effectually, 10 all inten!!; and purposes,
as we could were we presenl In person 10 do so; and for so doing, Ihis shall be your
sufficient )l'arrant of authorllY,
IN TESTIMONY WHEREOF, there is hereunto affixed lhe Seal of the Dcpartmenl of
Labor and Industry, Commonwealth of Pennsylvania, Ihls 16 TH day of MIIY , 2000. . '
ACCOUNT NO. 21-18974
AD NO. 272606
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-'Sl!AN -rc-iE-io}ff":"-
Deputy Chief Cioullsel for Employment Security
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