HomeMy WebLinkAbout03-6680UC-728 REV, 9-03
IN THE COURT OF COMMON PLEAS OF
C~EBE~D COUNt, PENNSYLVANIA
DOCKET# O~'L/- ~E
DATE ENTERED
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
confl'ibutions, interest and penalties to
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
HOFFMAN MECHANICAL INC
3 KEYSTONE DR
MEC~ANICSBURG PA 17050
be entered of record by you and ·
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER 2 :~ ('3
ACCOUNT NUMBER: 21-22154 6
AD Number: 304080 .... --~
CONTRIBUTION INTEREST DU£'J~ UNPAf~ ~LTY ~JUE -
QTR/YR. DUE PAID/CREDIT BALANCE CONTRlaUTION D LA[~w~ DISi'~)~ORED CHECK
1-03 WE 52.37 52.37 .00 .00
1-03 6,088.06 2,296.64 3, 791.42 190.16 250.00
2-03 WE 39.44 30.00 9.44 .00
2-03 3,470.24 1,213.20 2,257.04 47.21 -00
sub-total
6,057.90 237.37 250.00
diflona~ interest is to be computed on the above balance of unpaid unemployment Filing Fee(s)
p.nsa,,o, oontrib.tion, at tm. rat. dot.rmi..d
~er Seotlon 806 of the Rscal Code, 72 P,S, ~ 806, per mon~, or fra~ion of a Additional Interest
,nth, from 12/31/2003
SALLY L. FUHRER
TO BE RETAINED BY RECORDING OFFICE
12/10/2003
DATE