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UC,72& REV, B.i&
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
'*
CERTIFIED COpy OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
PUl'luent to Section 308.1 of the
Penneylvenle Unemployment
Compen.ltlon LIW, 43 P,S, 1788,1,
thl. Ie I Certified Copy of Lien for
unpeld unemployment compeneatlon
contribution., Intere.t and panaltle& to
be entered of record by you and
Indexed a& judgment. ere Indexed.
peNNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-15'738 4
AD Number: 2'78795
QTRlYA. CONTRIBUTION
DUE PAID/CREDIT
1-94 WE 18.13 3.21
1-94 998.59 176.72
2-94 WE 30.02 11.14
2-94 1,579.58 613.26
3-94 WE 40.25 16.12
3-94 1,444.57 887.63
4-94 WE 2t:i. 07 6.98
4-94 369.45 143.92
1-95 WE 16.48 .00
1-95 1,363.53 .00
2-95 WE 19.53 .00
2-95 1,381.20 oDD
eu b.totel
Addltlon.1 Into,ul 1'10 bo oomput.d on tho .bovo bol.no. of unp.ld unomploymonl
oompon..t/on oont,lbutlon. It tho "10 dotermlnod by Iho Soo"t.ry of Rovonuo
und., Sootlon &08 of tho FI.o.1 Coelo, 72 P,S, 1808, per month, or '"otlon of 0
month,from 12/31/1998 .
DOCKET # q9-.q
DATE ENTERED I
'14 qq
.\\q,\:l(:)\,<:\ ~~\ [;l.,,\~\ RII " f:illD:L
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
v..
.
REFRIGERATION SPECIALISTS
120 FOURTH STREET
NEW CUMBERLAND PA
IHC
c.u..>>
leiM
BALANCE
INTlRI!ST QUE ON UNPAID
CONTRI8UTIONANO I OR
CONTRIBUTION PAID lATI!.
PI!NAl TV DUE ~
LAle REPORT/
OISHONORIID CHeCK
12/09/1998
DATE
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
Th. und.r.l"n.:!, DIr'Cllor, Bur..u of Employ.' T.~ Op"tllont. D,pt"m,nt of Llbol and InduIlry, 0./1111,. Ihat Ill. .boo/~ unemPloym,nt camp.nt.llon conlrlbUlIOnt, Inltf.lf .na' p,",'tI",
I" due .na' P'Ylbl. bV lh. .bO'/. fll!'flOa' d,'.ndlnl und,f t.,. prO'<lllon, 01 thl P'nnlytvlnl. Unlmploymlnl Compln'lllon law. PUf'Uln'"IO Ihellon 308.1 ol'.ld LlW, ~3 fo, S. I 71a, t,
tnl above conlllb"tlonl, 11'111,.,1 and Pln.llI.. If. I lI.n upon th.lf.nthl,.. tna' PloPlrty, bOlh 'UJ and p'lIonal, In eluding 11111 IOqulflld proplrty, ollh. .bOVI nlmld dolondlnl .nd
IIt.C,", Ihllolo from U,. dati 01 Intry of Ihl, C.rtill.d Copy 01 lI.n.
17020
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R ~ut1f1~
A, SCOT MIEDAICH
AUlltlnl Dlfomof, BUflau 0'1 Employer T.IC Op'lltionl
TO BE
'.~~'
.
"
".
- ~-,
0-'
14.92
821.87
18.88
966.32
24.13
556.94
19.09
225.53
16.48
1,363.5:1
19.53
1,381.20
340.29
383.41
215.97
86.23
455.40
4:10.73
5,428.42
Total
Filing Feo(s)
Addhlonal LII081 Coste
Addhlonallnterest
Satisfaction Amount
1 912.03
7,340.45
9.00