HomeMy WebLinkAbout01-2826 UC-728 REV. 6-98
IN THE COURT OMMOH'PL'EAS OF DOCKET #..." .-.- .: .
OU~B~A~D COUNt, PENNSYLVANIA DATE EN~RED ' '""
CERTIFIED COPY OF LIEN CU~ ........ ~:. ,:., l
DEPARTMENT OF ~BOR AND INDUSTRy
TO THE USE OF THE
TO THE PROTHONOTARY OF ~ID COURT: UNEMPLOYMENT COMPEN~TION FUND
Pumuant to ~ion ~8.1 of the
Pennsylvania Unemployme~
Com~n~ion ~w, ~ P.S. ~ 788.1, · BEZ~EAC EQUIPmEnT
thi. I.. C.~lfied Copy of Lien ~ 325 WEST ALL~N
un.id unemployme~ compensation ~EC~AN~CSBURe PA 17055
be e~ of ~ by you and
ind~ed ee judgme~ em index~. ·
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 2~-~4233 6
AD Numar:
QT~R,
DUE
~-97 4,455.00 .00 .0~
'
00 4,455.00 Z,470.Z5 250.00
cub-total
,onal Interelt la to be Oomputed on 1he above
,enem/on oontrlbutfone at the rate - ..... Lbalenoe of unpaid unemployment .. Filing Fee(s) , 9. , , · ----,,,,,neo ny the Seorofep/of Revenue
1. from 04/30/2003. Additional Interest ......... ' ........ .:...~........v '.'~..::..:.~;...F~:~:.?
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