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03-2724
UC-728 REV. 6-98 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. § 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. DOCKET # 4) DATE ENTERED COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND s VS. EDWARD D NIGHTWINE INDIVIDUALLY & T/A NIGHTWINE CONCRETE 43 QUEEN AVENUE ENOLA PA PENNSYLVANIA EMPLOYER ACCOUNT NUMBER: 21-19536 7 AD Number: QTR/YR. 2-02 2-02 3-02 3-02 4-02 4-02 300276 ~ DUE WE .00 1,052.52 WE · 00 1,699.95 WE · 00 368. 73 CONTRIBUTION PAID/CREDIT .00 .00 .00 .00 .00 .00 sub-total ~NCE .00 1,052.52 .00 1,699.95 .00 368.7 3r121.20 17025 .00 105.26 .00 170.00 .00 61.06 Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 14.0 0 compensation contributions at the rate determined by the Secretary Of Revenue under Section 806 of the Fiscal Code, 72 P,S. § 806, per month, or fraction of a month, from 05/31/2003 Additional Interest The undersigned, Director, Bureau of Employer Tax Operations, Department of Labor and Indust~, certifies that the aPove unemployment compensation cont rlbutlons, interest and penalties are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment Com~3ensation Law. Pursuant to Bectlon 308,1 of said Law, 43 P,S. § 788.1, R. SCOT MIEDRICH Assistant Director, Bureau of Employer Tax Operations TO BE RETAINED BY RECORDING OFFICE 05/23/2003 DATE 106.79 48.24 52.41 6.14 336.32 gg oo~ z~ 0--~ ~ 0© ~0