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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 00 7402 CIV
vs.
JERRY E LYNCH & DONNA L LYNCH
INDIVIDUALLY & AS TENANTS IN
ENTIRETY T/A
COUNTRY CUSTARD
102 CLEVERSBU~G ROAD
SHIPPENSBURG PA 17257
AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, JULY 13, 2001 the Commonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation Fund,
Plaintiff in the above action, through its Chief Counsel, by its Deputy Chief Counsel for
Employment Security, acknowledges having received of the Defendant above named full
payment and satisfaction of the above. captioned Lien, with the interest and costs thereon due
it; and desire that satisfaction be entered upon the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your costs, 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 intents and purposes,
as we could were we present in person to do so; and for so doing, this shall be your
sufficient warrant of authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the Department of
Labor and Industry, Commonwealth of Pennsylvania, this 13 TH day of JULY , 2001.
ACCOUNT NO. 21-17284
AD NO. 286875
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SEAN F. CREEGA:
Deputy Chief Counsel for Employment Security
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UC-728 REV, 6-98
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a~~&:T OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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DATE ENTERIUf ~
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CERTIFIED COpy OF LIEN
COMMONWEALTH OF PENNSy~~~~i~si81!;t}(,/Nr(
DEPARTMENT OF LABOR AND INDUSTRY' J,
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOtARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S.!i 788.1,
this is a Certified Copy of Lien for
unpaid unemployment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
vs.
.
JERRY E LYNCH & DONNA L LYNCH
INDIVIDUALLY & AS TENANTS IN
ENTIRETY T/A
COUNTRY CUSTARD
102 CLEVERSBURG ROAD
. SHIPPENSBURG PA 17257
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-17284 7
AD Number:
286875
QTRlYR. CONTRIBUTION
DUE PAID/CREDIT
2-96 WE .77 .00
2-96 51.26 .00
3-96 WE .75 .00
3-96 52.55 .00
4-96 WE .06 .00
4-96 3.86 .00
BALANCE
INTEREST DUE ON UNPAID
CONTRIBUTION AND! OR
CONTRIBUTION PAID LATE.
PENAL TV DUE -
LATE REPORT!
91SHONORED CHECK
.77
51.26
.75
52.55
.06
3.86
1. 21
.00
25.00
.00
25.00
.00
25.00
18.42
17.68
sub-total
Additional Interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determIned by the Secr,eta'ry of Revenue
under Section 806 of the Fiscal Code, 72 P.S. ~ 806, per month, or fraction of a
month, from 10/31/2000 .
Addttlbnal Interest
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:::::::::::::'::::::;::':::::::;:;::':':':::,:'::::::::::::::,:::::;:,:::;:,.::::,::'::,:,,;..:.:................
:.:.:.:.:.:.:.:.:.:.,.,.:...,.:.:.;.,.;.;.:...:.;.:,;::,:,;,;..:...,:':...:':.,........
The undersigned, Director, Bureau of Employer Ta)( Operations, Department of Labor and Industry, certifies that the above unemployment compensation contributions, Interest and penalties
are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law, Pursuant to Section 308.1 of said Law, 43 P,S. fj 788.1,
the above contrlbutlons, Interest and penalties are a lien upon the francnlses and property, both real and personal, including after acquired property, of the above named defendant and
attach thereto from the date of entry of this Certified Copy of Lien.
R Jut1f1~
R, SCOT MIEDRICH
10/02/2000
DATE
Assistant Director, BureaU of Employer Ta)( Operations
TO BE RETAINED BY RECORDING OFFICE
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