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UC.728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
CUMBERLAND
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CERTIFIED COPY OF LIEN
DOCKET #01- 59ft! Cu;.y k-
DATE ENTERED 10/1'7/01
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 Unemployment
Compensation Law, 43 P.S. S 788.1,
this is a Certified Copy of Lien for
unpaid unemployml!nt compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
vs.
.
DVS DESIGN INC
6362-A BASEHORE RD
MECHANICSBURG PA 17055
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PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-20348 3
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AD Number:
292007
CONTRIBUTION
aTRlYA. DUE PAID/CREDIT
3-98 WE .00 .00
3-98 70.00 .00
4-98 WE .00 .00
4-98 70.00 .00
1-99 WE .00 .00
1-99 106.49 .00
2-99 WE .00 .00
2-99 106.49 .00
3-99 WE .00 .00
3-99 106.49 .00
4-99 WE .00 .00
4-99 138.44 21.00
INTEREST DUE ON UNPAID
CONTRIBUTION AND I OR
BALANCE CONTRIBUTION PAID LATE.
.00
70.00 16.80
.00
70.00 15.34
.00
106.49 21.48
.00
106.49 19.61
.00
106.49 17.75
.00
117.44 17.42
sub-total
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PENAL TV DUE
LATE REPORTI
DISHONORED CHECK
.00
25.00
.00
25.00
.00
25.00
.00
25.00
.00
25.00
.00
.00
Additional interest is to be oomputed on the above balanoe of unpaid unemployment
oompensatlon oontributlons at the rate determined by the Seoretary of Revenue
under Seotlon 806 of the Fisoel Code, 72 P.S. ~ 808, per month, or freotion of e
month, from 10/31/2001 .
Fning~ee(sL
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Additional Interest
The undersigned, Director, Bureau of Employer T8)( Operations, Department of Labor and Industry, certifies that the above unemployment compensation contrlbU1lons, 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. ~ 788.1,
the above contributions, Interest 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 entry of this Certified Copy of Lien,
R Jut1f1~
A. SCOT MIEDRICH
10101/2001
DATE
Assistant Director, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
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