HomeMy WebLinkAbout04-4681UC-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 Certified Copy of Lien lor
unpaid unemployment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
DOCKET# O'~./-/I.,P J ~.J'
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
THOMAS L BIEMESDERFER INDIVIDUALLY
& TRADING AS TOM BRUNO ROOFING &
CONSTRUCTION
14'73 TIMBER CHASE DR
MECHANICSBURG PA 17050
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-212B3 0
AD Number: 30 79 0 7
CONTRIBUTION
QTR/YR,
DUE PAID/CREDIT
1-00 WE .00 .00 .00
1-00 331.00 .00 331.00
2-00 WE .00 .00 .00
2-00 523.54 .00 523.54
sub-total
.00
93.78 33.10
.00
13~. 86~ 52.35
~ C'~
.-!: =.. ' r~
854.54 231.64' 85.45
dditional interest Js to be computed on the above balance of unpaid unemployment Fil)r 14.. 0 0
m"~pensation contributions at the rate determined by the Secretary of Revenue
Section 808 of the Fiscal Code, 72 P,S. § 806, per month, or fraction of a Additional ~nterest
~3th, from 09/30/2004
the a~c~e r ~ r~/.i ~d~ fer c a~t and affach thereto from the date of emry Of this Oert~ed Copy of Lien,
SALLY L, FUHRER
TO BE RETAINED BY RECORDING OFFICE
09/07/2004