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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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CERTIFIED COpy OF LIEN
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unllmployment
Compensation Law, 43P.S. !i 788.1,
this is a Cert,ifiad Copy of Lien, for
unpaid unemployment compensation
contributions, intllrest and penalties to
be entered of record by you and
indexed as judgments are indexed.
.
vs.
ELLEN JADE JANESKO
INDIVIDUALLY & T/A
SHILOH'S COUNTRY SHOP
3966 ENOLA ROAD
NEWVILLE PA 17241
.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19764 5
AD Number:
266139
OTRlYR CONTRIBUTION
DUE PAID/CREDIT
4-96 WE .00 .00
4-98 202.33 .00
1-99 WE .00 .00
1-99 249.98 .00
2-99 WE .00 .00
2-99 35.27 .00
2-99 CP
BALANCE
INTEREST DUE ON UNPAID
CONTRIBUTION AND I OR
CONTRIBUTION PAlO LATE.
PENAL TV DUE -
LATE REPORT!
DISHONORED CHECK
.00
202.33
.00
249.98
.00
35.27
2.91
.00
25.00
.00
25.00
.00
25.00
100.00
23.77
25.00
sub-total
Additional interest is to be computed on the above balance. of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscsl Code, 72 P,S, ~ 806, per month, or fraction of a
month, from 08/31/2000 .
_1~~i~.f~I.t).................
Additional Interest
The undersigned, Director, Bureau of Employer Tax Operations, Department of Labor and Industry, certifies thai the above unemploymlllnt compensation contributions, Interest and penalties
are due and payable by th.e above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section 308.1 of said Law, 43 P.S. ti 788.1,
the above contributions, Inferest and penalties are a lien upon the franchises and properly, both real and personal, InclUding after acquired property, of1he above named defendant-and
attach thereto from the date of entry of this Certified Oopy of Lien.
RJd1fJ~
R SCOT MIEDRICH
08/04/2000
DATE
Assistant Director, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
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