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IN THE COURT OF COMMON PLEAS OF CUMBERLAND
COUNTY. PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
Docket Number 9B 41 CIV
\'5.
W R FOOD INC
TIA WESTERN ROSE PRODUCE CO
1302 SLATE HILL ROAD
CAMP HILL PA 17011
AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit. APRIL 6 1998 the Commonweallh of Pennsylvania.
Deparlment of Labor and Industry. to the use of the Unemployment Compensation Fund.
Plaintiff in the above action. through ils Chief Counsel. by ils Deputy Chief Counsel for
Employment Sccurity. acknowledges having received of the Defendant above named full
payment and satisfaction of the abovc captioned Lien. with the interest and COSIs thereon due
it: and desire that satisfaction be entered upon the records thereof.
AND you. the Prothonolar~' of said COUrl. upon receipt by you of your COSIs. are
hereby authorized and empowered. in the name and stead of the Plaintiff. to enter full
satisfaction upon the record of said Lien as fully and effectually. to all intenls and purposes.
as we could wcre we present in person to do so: and for so doing. this shall be your
sufficient warrant of authority.
IN TESTIMONY WHEREOF. !here is hereunto affixed the Seal of the Deparlment of
Labor and Industr)'. Commonwealth of Pennsylvania. this 6 TH day of APRIL . 1998.
ACCOUNT NO. 21-18975
AD NO. 273729
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SEAN F. CREEG'"
Deputy Chief Counsel for Employment Security
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UC.728 REV. 1.97
IN THE COURT OF COMMON PLEAS OF
CUKBERLAND COUNTY, PENNSYLVANIA
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DOCKET# GF/. 41 L~wJ2
DATE ENTERED 7tY\Pl
\I 'i', IXlf'd Cl,_.1 5,3:,'~S i',~l LDD.551
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 ot the
Pennsylvania Unemployment
Compensation Law, 43 P.S. ~ 788.1,
this Is a Certllled Copy of Lien for
unpaid unemployment compensation
contributions. Interest and penalties to
be entered of record oy you and
Indexed as judgments are Indexed.
vs.
.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18975 8
W R FOOD INC
T/A WESTERN ROSE PRODUCE
1302 SLATE HILL ROAD
CAMP HILL PA 170110
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AD Number:
273729
CONTRIBUTION
DUE PAID/CREDIT
3-96 WE 13.12 13.12
3-96 236.97 236.97
4-96 WE 13.88 13.88
4-96 134.86 134.86
1-97 WE .00 .00
1-97 1,441.57 407.99
2-97 WE .00 .00
2-97 e09.15 160.97
INTEREST DUE ON UNPAID
CONTRIBUTION AND' DR
BALANCE CONTnIBUTlON PAID LATE.
.00
.00 1. 21
.00
.00 .59
.00
1.033.58 86.31
.00
648.18 26.72
sub.total
1 681. 76
Total
Filing Fee(s)
Additional Legal Costs
Additional Interest
Satlsfacllon Amount
114.83
1,877.51
9.00
ddltlonellnterest Is to be computed on the ebove belence of unpeld unemployment
ompensetlon contributions etthe '"t" determined by the Secretery of Revenue
nder Section 805 01 the F1sce' Code, 72 P,S. 6 806, per month, or Irectlon 01 a
onth.lrom 12/31/1997 .
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PENAL n DUE -
LATE REPORT I
DISHONOReD CHECk
.00
.00
.00
.00
.00
.00
.00
80.92
80.92
The und.r'ign.d, OII'Clor, BUfU:J of Employ.r rill Opt/allonl, O.partm.nl or Labor and InduIlry. certl'l.. thalth. abov. un.mploymlnt comp.n..tlon cont,lbutlon',lnl.r..1 .nd p.naltlu
". due .nd P'i.bl. byth. .bov. n.m.d d.'.ndant und.r Ih. provlllonl offh. P.nn'ytvanl' Un.mploym.nl Comp.nlAUon l.lY. Purlu.nt 10 S.eUon 308.1 01 laid law, 43 P.S. . 78a.1.
lh. above eontrtbLStlonl.lnl.r.ll .nd pln.IlI., are . lien upon the lIanehllll .nd prOPltty. bolt'! 'ul and Plllon.l.lnelc..ldlns aft.r .equlrld prOP.rty. 01 the above n.m.d def.ndanl and
an.eh Ih.I.IO from Ih. d.l. 01 .mry Ollhll C.rtthd Copy of U.n.
TO BE RETAINED nv RECORDING OFFICE
12/22/1997
DATE
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