HomeMy WebLinkAbout04-4583UC-728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
Ct]M~ERLAND COUNTY, PENNSYLVANIA
DOCKET # O (/- (/.5-~3 ~
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 e 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: 307768
)TPJYR.
DUE
1-03 WE 1.80
1-03 419.58
2-03 WE 1.80
2-03 419.58
3-03 WE 1.80
3-03 279.72
CONTRIBUTION
PAID/CREDIT
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
FLOORS INC
INTEREST DUE ON UNPAID PENALTY DUE
CONTRIBUTION AND / OR LATE REPORT/
BA~NCE CONTR~0UT~ON PAID LATE. DISHONORED CHECK
00 1.80 .00
00 419.58 26.68 42.14
00 1.80 .00
00 419.58 21.42 41.96
00 1.80 .00
00 279.72 10.79 .00
sub-total
1,124.28 58.89 84.10
~nal interest is to be computed on the ebove balanoe of unpaid unemployment
~nsation contributions at the rate determined by the Secretary of Revenue
Section 806 of the Fiscal Code, 72 P,S. § 806, per month, or fraction of a
,from 09/30/2004
Filln
Additional Interest
14.00
SALLY L, FUHRER
TO BE RETAINED BY RECORDING OFFICE
09/01/2004
DATE
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