HomeMy WebLinkAbout04-4680UC-728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
/~UMBERLAND COUNTY, PENNSYLVANIA
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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: 21-21067 6
AD Number: 307882
CONTRIBUTION
QTR/YR.
DUE PAID/CREDIT
3-03 WE 9.92 9.92
3-03 1,63.2.10 1, 340.15
DOCKET # O
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS,
B C MCALLISTER PAVING
INCORPORATED
51z~O W. RBS BRIDGE RD
MECHANICSBURG PA 17055
BALANCE
.00
271.95
INTEREST DUE ON UNPAID
CONTRIBUTION AND / OR
CONTRIBUTION PAIO LATE.
PENALTY DUE -
LATE REPORT/
O~SHONOREO CHECK
26.17
.00
26.20
su b-total
271.95 26.17 26.20
itional Interest is to be computed on the above balance of unpaid unemployment
,pensat[on contributions at the rate determined by the Secretary of Revenue
er Section 806 of the Fiscal Code, 72 P.S. § 806, per month, or fraction of a
,th, from 09/30/2004
Filing Fee(s)
Additional Interest
14.00
SALLY L. FUHRER
TO BE RETAINED BY RECORDING OFFICE
09/07/2004
DATE
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