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04-0360
IN THE COURT OF CONU~ON PLEAS OF DOCKET # 0 q. CUMBERLAND COUNTY, PENNSYLVANIA DATE ENTERED CERTIFIED COPY OF LIEN TO THE PROTHONOTARY OF SAID COURT: Pursuant to 43 P.S. S S 874(a) and 788.1, this is a Certified Copy of Lien for overpaid unemployment compensation benefits and interest to be entered of record by you and indexed as judgments are indexed. Social Security Account Number: 205-76-6164 Job Center #: 0996 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND VS. LEONEL RAUDALES 674 CUMBERLAND POINTE CIRCLE MECHANICSBURG, PA. 17055 Claim Week Overpaid Claim Week Oveq~atd Endine Date Amount Endint Date Amount Claim Week Endtnt Date Ovel~atd Claim Week Amount Ending Date Overpaid 11-03-01 $219,00 11-10-01 $219.00 11-17-01 $2t9.00 11-24-01 $127.00 12-01-01 $219.00 12-08-01 $219.00 12-t5-01 $219.00 12-22-0t $219.00 12-29-01 S219.00 0t -05-02 $219,00 01-12-02 $219.00 0t-19-02 $219.00 01-26-02 $2t9.00 02-02-02 $219.00 above overpaid unemployment compensation benefits after 12-31-O3 For the total amount due on this lien, Minus Amount Repaid 0 phone (717)783-3t40. iiii!:i~i Filln~ Fee $14.00 The undersigned, Assistant Director, Bureau of Unemptoyment Compensation Benefits and N[oweoces, Bepartment of Labor and Industry of the Commonwealth of Pennsylvania, certifies that the above parson is oeiigated, pursuant to 43 P.~. ~ 874(a) ~o repay the above overpaid unemployment compaesetion benefits received by him/her together with interest thereon, charged per month or fraction of a month, beginning fifteen (15) days after the Notice of Overpayment wes issued and continuing unfit the overpaid benefits are repaid. The interest rate is determined by the Secretary of Revenue as provided by Section 806 of the Fiscal Code. In accordance with 43 P.S. § $ 874(a) and 788.1, the above overpaid unernpioyment compensation benefits and interest are a [ten upon the franchises and property, both rea[ and personal, including after-acquired property, of the above parson and attach thereto from the date of entry of this Certified Copy of Lien. f ~1 January 12, 2004 ~ng Chief of UI Ctaims ser~ces Bate uJ w Z o-z ZLU OZ u_O 0o F= 0 (D LU Z o rrl-- UJZ nw z~ zO< U-LuO Oz~ ELI -J -->-0 U-COO P-Z rrz WLU (DO_ © C 0