HomeMy WebLinkAbout01-05559UC•728 REV. 6.98 ~ D~ - /~3 ,~`~' //`ma'r "u
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED
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CERTIFIED COPY OF LIEN CO M
ALII~H 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 vs.
Pennsylvania Unemployment ~
Compensation Law, 43 P.S. § 788.1, BOMBERGER TRANSMISSION &
this is a Certified Copy of Lien fOr AUTOMOTIVE INC
unpaid unemployment compensation 2 26 MILL ST ~ c~:
comributions, interest and penalties to MT HOLLY SPRINGS PA 170
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ri,
be entered of record by you and `= ' ~
.=- ° ;
indexed as judgments are indexed. ~~:
~~_
PENNSYLVANIA EMPLOYER ~, _
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~ _ _
ACCOUNT NUMBER: 21-19680 0 ~' =~'
,: .,~ +
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AD Number: 291582 _
QTR~R 4VIV I ItIOUI IVIV CONTRIBUTION ANO /rOH I LATE nEPORT/ I
DUE PAID/CREDIT BALANCE ~~ CONTRIBUTION PAID LATE. 013HONOFEO CHECK
1-00 WE •00 .00 .00' .00
1-00 69.02 .00 69.02 8.34 25.00
2-00 WE .00 .00 .00 .00
2-00 69.02 .00 69.02 6.96 25.00
3-00 WE .00 .00 .00 .00
3-00 69.02 .00 69.02 5.58 25.00
4-00 WE •00 .00 .00 .00
4-00 69.02 .00 69.02 4.14 25.00
sub-total
,dditional interest is to be computed on the above balance of unpaid unemployment Flling Fee(S) y • U U
ompensation contributions at the rate determined by the Secretary of Revenue ~{jd(~~pn;~l~„~gg'~I{~ ,.
nder Section 806 of the Flscal Code, 72 P.S. § 806, per month, or traction of a ~~ Additional Interest
ionth, from 0 9/ 3 0/ 2 0 0 1 ' watl;5~a0tk8n AhU7U13f
The underalgned, Director, Bureau of Employer Taz Operations, Depadment of Labor and Industry, cedlflee that the above unemployment compensation coMrlbullone, IMereat and peneltles
are due end payable by the above named defendant under the.provlslpna of the Pennaylvenla Unemployment CompenaMlori Law. Pursuant fo Sectlan 308.7 of Bald Lnw, 43 P.3. § 783.7,
the above contrlbutlona, Intsreal and panaitlea era a Ilan upon the frehchisea end property, both real end pareonal, Induding after acquired property, of the above named defendant end
atlech thereto ftom 1M date of entry of this Certified Copy of Llen.
R, SCOT MIEDRICH 09 /06 /2001
DATE
AsalateM Director, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING Orr ICE
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