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IN THE COURT OF COMMON PLEAS OF .rC T. I: DATE ENTERED
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.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-17329 0
AD Number: 283042
COMMONWEALTH OF PENNSYLVANIA
-
DEPARTMENT OF LABOR AND.INDUSTRY-
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND -
VS.
DALLAS WENRICH --
INDIVIDUALLY & T/A:C-
WENRICHrS AUTOMOTIVE
501 W HILL ROAD
SHERMANSDALE PA 17090
I?-00 PL C'k°d Sr3ti?
(IT -?
CONTRIBUTION INTEREST DUE ON UNPAID
N AND / OR
CONTRIBUTIO PENALTY CUE -
LATE REPORT/
OTRIYR DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONORED CHECK
3-95 WE 4.24 4.24 .00 .00
3-95 53.56 53.56 .00 2.14 57.80
4-95 WE 2.09 2.09 .00 .00
4-95 72.68 72.68 .00 7.91 74.77
1-96 WE 1.89 1.89 .00 .00
1-96 118.73 81.59 37.14 26.16 25.00
sub-total
`-Total 230.92 ,
9 .00
Additional Interest is to be computed on the above balance of unpaid unemployment Filing Feels)
compensation contributions at the rate determined by the Secretary of Revenue Additional Legal Costs .. ..
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
month, from 10/31/1999 Satisfaction Amount
The undersigned, Director, Bureau of Employer Tax operations. Department of Labor and Industry, Cori that the above unemployment compensation contributions, Interest and penaltbs aw.
788 afe due end payable bythe above named defendant untler the provisions of trio PlnmyNahla Unemploy V nt Compensation Lew. Pursuant to Section ol3he 1 of I d L rramed defendant and
alacha
the above contributions, interest and centuries are a Ilen upon the /ranchlses sna p op ny, both rest and anon 0. Including after acquired
attach thereto from the date of entry of this Certified Copy of Uen.
lie
10/25/1999
R. SCOT MIEDRICH DATE
Assistant Director. auresu of Employer Ta.operations
BE RETAINED BY RECORDING OFFICE
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