HomeMy WebLinkAbout04-4707UC-72S REV, 4-04
IN THE COURT OF COMMON PLEAS OF
CUMEERLAND COUNTY, PENNSYLVANIA
DOCKET# 0 Y, q 7
DATE ENTERED
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308. I 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: 21-19273 2
AD Number: 307785
CONTRiBUTiON
QTRJYR. DUE PAiD/CREDIT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS,
THE OLD'E FISHING STATION INC
145 D ST
CARLISLE PA 17013 ~ ~ O
3-01 WE .00 o00 .00 .00
3-01 450.52 .00 450.52 69.83 45.00
4-01 WE .00 .00 .00 .00
4-01 37.83 .00 37.83 5.11 25.00
1-02 WE o00 .00 .00 .00
1-02 90.26 .00 90.26 10.83 25.00
Isub-total
578.61 85.77 95.00
14 00
ional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) ·
,ensatlon ~ontribution$ et the rate determined by the Seoretary of Revenue
Sect/on 806 of the Fiseat Code, 72 P,S, ~ 806, per month, or fra~ion of a Additional Interest
hfrom 09/30/2004
SALLY L. FUHRER
TO BE RETAINED BY RECORDING OFFICE
09/02/2004
DATE
Iii ~00
.z..95