HomeMy WebLinkAbout03-5433UC-728 REV, 9-03
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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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 o! record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-20841 8
AD Number: 302583
QTR/YR. CONTRiBUTiON
DUE PAID/CREDiT
3-00 WE .00 .00
3-00 276.08 .00
4-00 WE .00 .00
4-00 278.08 .00
1-01 WE .00 .00
1-01 276.08 .00
2-01 WE .00 .00
2-01 276.08 .00
3-01 WE .00 .00
3-01 276.08 .00
4-01 WE .00 .00
4-01 276.08 .00
DOCKET#
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
MINO'S BISTRO INC
1801 MARKET ST
CAMP HILL PA 17011
BALANCE CONTRIBUTION PALO LATE. ~ISHONORED CHECK
00
276 08 55.44
00
276 08 49.69
00
276 08 43.48
00
276 08 37.27
00
276 08 31.06
00
276 08 25.54
.00
27.61
.00
27.61
.00
27.81
.00
27.81
.00
27.81
.00
27.61
sub-total
1,656.48 242.48 165.66
Additional interest is to be oomputect on the above balance of unpaid unemployment
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 09/30/2003
Filin,
Additional Interest
14.00
SALLY L, FUHRER
Asll~te, nt Df rector, aure~u ~f Employer T~x Operations
TO BE RETAINED BY
RECORDING OFFICE
09/24/2003
DATE
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