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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P .S. S788.1,
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.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19525 1
AD Number:
289563
401- ~409
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QTRlYR.
DUE
CONTRiBUTION
PAID/CREDIT
2-00 WE
2-00
3-00 WE
3-00
.00
894.78
.00
564.32
.00
138.00
.00
.00
sub-total
DOCKET #
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
.
.
PROFESSIONAL DECK SEALING
4193 NANTUCKET DRIVE
MECHANICSBURG PA e.r0~
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BALANCE
INTEREST DUE ON UNPAID
CONTRIBUTION AND I OR
CONTRIBUTION PAID LATE.
PENAL TV DUE
LATE REPORT I
DISHONORED CHECK
.00
756.78
.00
564.32
56.40
.00
89.48
.00
55.43
28.59
Additional Interest Is to be computed on the above baiance of unpaid unemployment
compensatIon contributIons at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P,S, 6 806, per month, or fraction of a
month, from 05/31/2001
Additional Interest
The undersigned, Director, Bureau of Employer Tax Operallons, Department of Labor and Industry, certifies that the above unemployment compensallon contributions, Interest and penalties
are due and payable by the abCJve named defendan1 under the provisions of the Pennsylvania Unemploymen1 Compensation Law. Pursuant to SeCtion 308.1 of said Law, 43 P.S. ~ 788.1,
the above contributions, Interes1; and penalties are a lien upon the franchises and property, both real and personal, Including after acquIred property, of the above named defendant and
attach thereto from the date of l3intry of this Certified Copy of Lien.
RJut?J1~
R. SCOT MIEDRICH
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Assistant Director, Bureau Clf Employer Tax Operations
TO BE
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05/01/2001
DATE
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RETAINED BY RECORDING OFFICE
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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 01 3489 CIV
vs.
PROFESSIONAL DECK SEALING INC
4193 NANTUCKET DRIVE
MECHANICSBURG PA 17055
AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, AUGUST 2, 2001 the Commonwealth of Pennsylvania,
Departmjlnt 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 2 ND day of AUGUST , 2001.
ACCOUNT NO. 21-19525
AD NO. 289563
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. SEAN F. CREEGA
Deputy Chief Counsel for Employment Security
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