HomeMy WebLinkAbout04-0188UG-728 REV. 9.03
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
tOct. '0 & /Y. lrtl
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CERTIFIED COPY OF LIEN
DOCKET At 0 `/- / & F CWL( T
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 •
Compensation LaW, 43 P.S. § 788.1, J CRAIG SHAMBAUGH INDIVIDUALLY &
this is a Certified Copy of Lien for TRADING AS SHAMBAUGH MASON RY
unpaid unemployment compensation 2104 MARKET ST
CAMP HILL PA 1 7011
contributions, interest and penalties to c`
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER _ -Orr
ACCOUNT NUMBER: 22-18305 9
AD Number: 304379 s_ Y
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-e
C
/V CONTRIBUTION INTEREST DUB 14 UNdRIV
91 PPALTY DUE
T
R.
QT
Y ,
DUE
PAID/CREDIT
BALANCE CONTRIBUTION AND l
CONTRIBUTION PAID LATE. LA
E REPORT/
DISHONORED CHECK
2-01 WE .00 .00 .00 .00
2-01 179.22 179.22 .00 2.69 25.00
2-02 WE .00 .00 .00 .00
2-02 174.17 102.23 71.94 5.39 .00
3-02 WE .00 .00 .00 .00
3-02 406.39 238.53 167.86 11.26 25.00
4-02 WE .00 .00 .00 .00
4-02 87.08 51.11 35.97 1.86 25.00
sub-total
The undersigned, Assistant Director, Bureau of Employer Tex Operations, Department of Labor and Industry, certifies that the above unemployment compensation contrlbutlom, Interest and
penaltl as we due and payable by the above named defendant under the prmisions of the Pennsylvan la Unemployment Compensation Law. Pursuant to Section 308.1 of said Law, 43 P.S. 4
788.1, the above contributions, Interest and penalties area lion upon the franchises and property, both real and personal, Including after acquired property, of the above named defendant
and attach thereto from the date of entry of this Certlfled Copy of Lien.
6 45???
SALLY L. FUHRER 12/30/2003
DATE
Assistant Director, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
to the use of the
UNEMPLOYMENT COMPENSATION FUND
Docket No. 04 188 CIV
V.
J CRAIG SHAMBAUGH, IND. & T/A
SHAMBAUGH MASONRY
AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
NOW, to wit, March 10, 2009, the Commonwealth of Pennsylvania,
Department of Labor and Industry, to the use of the Unemployment Compensation
Fund, Plaintiff in above action, through its Chief Counsel, by its Deputy
Chief Counsel for Employment Security, acknowledges having received of the
Defendant above named full payment and satisfaction of the above captioned
Lien, with the interest and costs thereon due it; and desire that
satisfaction be entered upon the records thereof.
AND you, the Prothonotary of said Court, upon receipt by you of your
costs, are hereby authorized and empowered, in the name and stead of the
Plaintiff, to enter full satisfaction upon the record of said Lien as fully
and effectually, to all intents and purposes, as we could were we present in
person to do so; and for so doing, this shall be your sufficient warrant of
authority.
IN TESTIMONY WHEREOF, there is hereunto affixed the Seal of the
Department of Labor and Industry, Commonwealth of Pennsylvania.
TRUE CORY FROM RECORD
In Testimony whereof, I here unto set my hand
and the seal of said Court at Carlisle, Pa.
dA ....A,
This ....../ ..... day of .l
........................ Sean F. Creegan
Prothonotary
Deputy Chief Counsel
for Employment Security
Account No.: 21-18305
AD No.: 304379
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