HomeMy WebLinkAbout03-0970PA DEPARTMENT OF REVENUE
BUREAU OF COMPLIANCE
DEPT. 280948
HARRISBURG, PA 17128-0948
.COURT OF COHNOH PLEAS OF
NAHE AND ADDRESS:
CUMBERLAND
25-1763353
COUNTY, PENNSYLVANIA
DOUGLAS L BUSHMAN
INDIVIDUAL AND AS PRESIDENT OF
PA MILLWORK & CABINETRY CO
258 GREEN LANE DRIVE
CAMP HILL PA 17011
TO T,; PRor.o.o~^.v oF SAID COURZ: CERTIFIED COPY OF LIEN
. . DATE OF '
CLASS OF TAX PERIOD ASSE$SHENT IDENTIFYIHG
TAX TOTAL'
TAX (OR DUE DATE) DETERHINAT[ON NUHBER
OR $ETTLEHEHT
I 2 3 ~ 5 6
EMPL 7/1/97- 10/25/02 C099998 $10,584.90 $21/967.42
9/30/98
C. C~ C":
C C,.; ....
5/01/03 T0~AL~ $10,584.90 $21,967.42
P~L~.G PEE<~ lA . 00
?_¢53
COR AUTHORIZED DELEGATE)
PART 1 - TO ~E RETAINED BY RECORD~HG OFFICE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Plaintiff
Vo
DOUGLAS L. BUSHMAN, INDIVIDUALLY
AND AS PRESIDENT OF PA. MILLWORK
AND CABINETRY COMPANY
258 GREEN LANE DRIVE
CAMP HILL, PA 17011
Defendant
· IN THE COURT OF COMMON PLEAS
CUMBERLAND CTY., PENNSYLVANIA
No. 03-970
Filed: 3/4/03
Amount: $21,967.42
License # 25-1763353
ORDER TO SATISFY
TO THE PROTHONOTARY:
You are hereby authorized and directed to satisfy the lien and judgment, as above
captioned, upon payment of your costs only by Defendant.
GERALD J. PAPPERT
ATTORNEY GENERAL
BY
#020831
(,~/r. Deputy At'tomey General
'"Financial Enforcement Section
Office of Attorney General
Commonwealth of Pennsylvania
15th Floor, :Strawberry Square
Harrisburg, PA 17120
Telephone: (717) 787-7188
Dated: November 29, 2004
PA .DEPARTNENT OF REV£NUE
BUREAU OF COHPLZANCE
DEPT. 280948
HA~RZSBURG, PA 17128-0948
DOCKET
DATE
FEES
COURT
OF COHNO# PLEAS OF
CUMBERLAND
25-1763353
COUNTY, PENNSYLVANZA
NAME
AND ADDRESS=
DOUGI~%S L BUSHMAN
INDIVIDUAL AND AS PRESIDENT OF
PA MILLWORK & CABI~IETRY CO
258 GREEN LANE DRIVE
CAMP }{ILL PA 17011
CERTZFZED
COPY OF LZEM
C:L.A~S O~*
TM(
EMPL
7/1/97-
9/30/98
10/25/02
[NTERI~T MIITAT~OH DATE
NUEiEE
CO99998
5/ol/o3
?OTALS
10,584 . 90
TOTAL
$21,967.42
10,584.90 $21,967.42
14.00
NAR 0 3 2003
TO BE RETURNED TO THE DEPARTMENT OF REVFNIIK
I I II m ii i ·