HomeMy WebLinkAbout04-4709IN THE COURT OF COMMON PLEAS OF
CUMBERr. AND COUNTY, PENNSYLVANIA
DOCKET # 0~'. q 70~'
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 ere indexed.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
BOOZ MILK TRANSPORT INC
199 BOOZ RD
SHIPPENSBURG PA 17257
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-20725 &
AD Number: 3 0 7 8 7 2
QTR/YR,
1-04 WE
1-04
DUE
96.63
2,338.9~
CONTRIBUTION
PAID/CREDIT
96.63
1,669.09
BALANCE coN~,~,ut,o, ~ro LATE,
.00 .00
669.87 11.16 .00
sub-total
669.87 11.16 .O0
ional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s) 14. o o
~ensatlon contributions at the rate determined by the Seoretary of Revenue
Section 806 of the Fiscal Code, 72 P.S, § 806, par month, or ftaotion of a Additional Interest
hfrom 09/30/2004
SALLY L, FUHRER
TO BE RETAINED BY RECORDING OFFICE
09/03/2004
DATE
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