HomeMy WebLinkAbout02-0504UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
CUMBERLAND
C£~TI~II~D ~OPY O~
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: 21-20426 9
DOCKET # O .~* 5'b ¥ ~
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
AD Number: 293385
VS.
MASONRY
TROSTLE
CONTRACTOR INC
122 E PORTLAND STRE~'~ CD
MECHAN I CSBURG PA
CONTRIBUTION IN,~T DUE ON UNPAID PENALTY DUE
CO.TR,EUT,DN ^.O / OR LATE REPORT/
QTR/YR. DUE PAiD/CREDIT BALANCE CONTmEUT,O. PA~DLATE. mSHONO.EDCHECK
4-00 WE .00 .00 .00 .00
4-00 1,523.13 1,523.13 .00 .00 152.31
1-01 WE .00 .00 .00 .00
1-01 4,979.16 4,979.16 .00 .00 250.00
2-01 WE .00 .00 .00 .00
2-01 1,844.48 717.18 1,127.30 47.91 184.45
lr127.30 47.91 586.76
sub-tmal
Filing FeB(s) ' . ..........................................
Additional interest I- to be oomputed on the above balano® of u~paid unemployment 9.0 0
under Section 806 of the Fl$oal Code, 72 P.S, § 806, par month, or fraction of a Additional Interest
3%e undersigned, Director, Bureau of Employer Tax Operetlons, Department of Libor and Indultry, certifies that the Ibove unemployment eompenJltlon eontriteutlonl, Interact and penalties
are due arid payable by the above named defendant under the provlllons of the Pennlylvanl& Unemployment Compeneetlon Lily. Purlulnt to 8entIon 308.1 Of laid L&w, 43 P.8. § 788.1,
the above contributions, Interelt and panaitlee are m lien upon the franchisee &nd properly, both real and personal, Including liter acquired property, of the ~bove named defendant and
attach thereto from the date Of ently of this Certified Copy of Lien.
R. SCOT MIEDRICH
Aesietant Dlrantor, Bureau of Employer T&x Operations
TO BE
RETAINED
BY RECORDING OFFICE
Ol/11/2oo2
DATE
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