HomeMy WebLinkAbout03-5554UC-728 REV. 9-03
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
,------------------&~ /24.4. I~, F-13&~.,L.
CERTIFIED COPY OF LIEN
DOCKET # ~93
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the vs.
Pennsylvania Unemployment ·
WILLIAM F WASHINGER JR
Compensation Law, 43 P.S. § 788.1,
INDIVIDUALLY & TRADING
this is a Certified Copy of Lien for
BILL'S SUNOCO
unpaid unemployment compensation
185 STRO~M ROAD
contributions, interest and penalties to SHIPPENSBURG PA 1725~ c~, ~.--~
be entered of record by you and · --~.~
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-06459 9
AD Number: 302828
OTR/YR. CONTRIBUTION iNTEREST DUE ON UNPAID "'PENALTy DUE -
DUE PAID/CREDiT BALANCE c°NTRIBUTION PAiD LATE. DISHONORED CHECK
AS
3-99 WE .00 .00 .00 .00
3-99 59.88 .00 59.88 16.97 25.00
4-99 WE .00 .00 .00 .00
4-99 38.20 .00 38.20 10.12 25.00
sub-total
98.08 27.09 50.0¢
Additional interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Sect[on 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a
month, from 10/31/2003
Filing Fee(s) 14.. o o
Additional Interest
SALLY L. FUHRER
TO BE RETAINED BY REC0RDI}~G OFFICE
10/01/2003
DATE
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