HomeMy WebLinkAbout03-4804UC-728 REV. 8-03
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.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-19c~00 3.
AD Number: 301746
QTR/YR.
DUE
4-00 WE · 00
4-00 521.39
4-01 WE · 00
4-01 499.65
1-02 WE .00
1-02 1,228.72
2-02 WE .00
2-02 66.63
CONTRIOUTION
PAID/CREDiT
499
DOCKET #o-~-
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
HEIGES HOME IMPROVEMENT INC
1280 GOOD HOPE RD
MECHANICSBURG PA 17055
00
00 521
O0
65
00
00 1,228
00
00 66
00 .00
39 91.67 49.77
00 .00
00 12.49 49.97
00 .00
72 90.10 122.87
O0 .00
63 3.89 25.00
sub-total
1,816.74 198.15 247.61
ddltional interest is to be computed on the above balance of unpaid unemployment Filing 14. o 0 0
:)mpensetion contributions at the rate determined by the Seeretery of Revenue
r~der Section 806 of the Fiscal Code, 72 P.$. § 806, per month, or fraotion of a Additional Interest
~onth, frorn 08/31/2003
SALLY L. FUHRER
A~siatan~ Director, 19ureau of Employer Tax Operations
TO BE RETAINED
BY RECORDING OFFICE
08/27/2003
DATE
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