HomeMy WebLinkAbout04-4579UC-728 REV, 4-04
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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 Cerlified 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
ACCOUNT NUMBER: 21-13324 8
AD Number: 307647
QTR/YR.
DUE
1-03 WE 2.62
1-03 880.47
2-03 WE 3.80
2-03 365 . 32
3-03 WE 3.32
3-03 101.01
4-03 WE 5.20
4-03 60.61
CONTRIBUTION
PAID/CREDIT
DOCKET# 0¥'
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
BUSH FOOD SALES
SHARRETTS & BUSH INC
504 GRANT DR
CAMP HILL PA 17011 .~
BALANCE
00 2.62
00 880.47 52.98 88.
00 3.80
00 365.32 17.53 36.
00 3.32
00 101.01 3.65 25.
00 5.20
00 60.61 1.53 25.
sub-total
1,422.35 75.69 175.
Additional interest is to be computed on the above belanoe of unpeid unemployment
compensation contributions at the rate determined by the 8eoretary of Revenue
under Section 806 of the Fisosl Code, 72 P.S. § 806, per month, or fraction of e
month, from 08/31/2004
Ad~!~!~ == == === =============== == = = ==
Additional Interest
SALLY L. FUHRER
Assistant Director, Office of Unemployment Compensation Tax Services
TO BE RETAINED
BY RECORDING OFFICE
08/30/2004
DATE
Z
<~ o
~ m 0~
mZ
z~
°~
I.-:~