HomeMy WebLinkAbout99-05427
No. 49-sue>> Ctrp Term
--I
A
Ys.
Court of Common Pleas
Comb. Co.
j
I
UC•728 REV. 8-98
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 Certif led 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: 21-20051 4
AD Number: 281953
DOCKET #Cq_ 54,17 C,4 •S
Term
DATE ENTERED
(1 131co
uQ. x;txl C-C-,ii go'78L. Rtl 55209
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
Vs.
•
GREAT LOCATION INC
T/A KOKOMO'S
3721 MARKET ST
CAMP HILL PA 17011
•
OTWYR. CONTRIBUTION
DUE PAID/CREDIT BALANCE INTEREST DUE ON UNPAID
CONTRIBUTION AND / OR
CONTRIBUTION PAID LATE. PENALTY DUE -
LATE REPORT/
DISHONORED CHECK
1-99 WE .00 .00 .00 .00
1-99 5,111.32 .00 5,111.32 119.26 250.00
u0
•
-7 I
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sub-total
1
5,111.32 119.26 250.00
W K:•
Teat 5,460.58
?.,r,.f..
Additional Interest is to be computed on the above balance of unpaid unemployment Filing Feels) 9.00
compensation contributions at the rate determined by the Secretary of Revenue Additional Legal Costa
under Section 808 of the Flacal Cods, 72 P.S. 4 808, per month, orirectlon of a Additional Interest
month,from 08/31/1999^
Satisfaction Amount
The undeNgned. Ob•ctor, Buflau of Employer Tax Operations, Department of Labor and Industry, camiBes that the atm. um.mployme t compemamm court JQma, e`1YW ails Mseen
are D., and payWbl. by the above named dat.ndani under the proWstona of IN P.nnayNanfl unemployment Compemabon Law. PvnuaM to 50001306 1 ofears 4r-13e.s f Teat
the a0ove cmldbNWN, Interest and penalties ere s Ilan upon the fflnchho and Property, both flat erd Personal, mpludng aha O'c"6e woo". c, Lhe seas tVIwN lswYre N
Wilson thereO from the date of entry of thte Caddfld Copy of U.n.
P.4?e,m * -
R. SCOT MIEDRICH
Assistant Director. Bmuu CA Emptoyer Tax OP.udona
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