HomeMy WebLinkAbout01-6640UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
OI:RTII:II:D ~0~¥ OF III:N
DOCKET # o/-
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
ve.
MIKE MACEDO
INDIVIDUALLY & T/A
GEM SERVICES
337 E ORANGE STREET
SHIPPENSBURG PA 172~-~
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 of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER 7_ ~-~i
ACCOUNT NUMBER: 21-20842 6 .£-i
AD Number: 292617 2~>~
QTR/YR. CONTRIBUTION ,.T£.EST DU U. '" L^TE .E.O.W
DUE PAID/CREDIT BALANCE CONTRIEUTION PAID LATE. [:]ISHONORED CHECK
3-00 WE .00 .00 .00 .00
3-00 575.42 .00 575.42 55.14 57.54
sub-total
575.42 55.14 57.54
Additional interest is to be oomputed on the above balance of unpaid unemployment ........................ ~.!!.!.l~.~].?9.e(~.) ....................................... ~.: 0.~ ...........................
under Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a Additional Interest
The undersigned, Director, Bureau of Employer Tax Operations, Department of Labor and Industry, certifies that the above unemployment compensation contributions, Interest and penalfle!
are due and payable bythe above named defendant under the provisions Of the Pennsylvania Unemployment Compensation Law. Pursuant to Se~lon 808.1 of said [.aw, 43 P.S. § 788.1,
the above contributions, Interest and penalties are a lien upon the franchises and property, both real and personal, Including after acquired property, of the above named defendant mhd
att&Ch thereto from the date of entry of this Certified Copy of L~en.
R. SCOT MIEDRICH 11/09/2001
DATE
AEEistant DireCtor, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
CD
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