HomeMy WebLinkAbout04-4582UC-728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
CUMBERLAI{D COUNTY, PENNSYLVANIA
DOCKET # O
DATE ENTERED
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 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
ACCOUNT NUMBER: 21-18559 0
AD Number:
QTP,/YR,
3-01 WE
3-01
4-01 WE
4-01
1-02 WE
1-02
2-02 WE
2-02
3-02 WE
3-02
4-02 WE
4-02
307767
DUE
.00
35. 28
.00
165 · 65
.00
133 11
O0
133 11
00
88 74
00
29 58
CONTRIBUTION
PAID/CREDIT
.00
35.28
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
SCHELLER HARDWOOD
1059 COLUMBUS AVE
LEMOYNE PA 17043
BALANCE
FLOORS INC
.00
.00 .01 25
.00
165.65 22.36 25
.00
133.11 15.97 25
.00
133.11 13.98 25
.00
88.74 7.99 25
.00
29.58 2.24 25
O0
O0
O0
O0
O0
O0
O0
O0
O0
O0
O0
O0
sub-total
550.19
62.55
150.00
,~ditional interest is to be somputed on the above balance of unpaid unemployment
~mpensation contributions et the rate determined by the Secretary of Revenue
meier Section 806 of the Fiscal Code, 72 P,S, § 806, per month, or fraCdon of a
wnth, from 09/30/2004
Filing Fee(s)
Additional Interest
14.00
SALLY L. FUHRER
TO BE RETAINED BY RECORDING OFFICE
09/01/2004
DATE
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