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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY , PENNSYLVANIA
CERTIFIED COpy OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. S S 874(a) and 788.1, this is a
Certified Copy of Lien for overpaid unemployment
compensation benefits and interest to be entered
of record by you and indexed as judgments are
indexed.
Social Security Account Number: 206-50-4037
Job Center #: 0996
Claim Week Overpaid
Ending Date Amount
10-22-94 $ 88.00
10-29-94 $ 88.00
11-05-94 $ 88.00
11-12-94 $ 88.00
11-19-94 $ 88.00
11-26-94 $ 88.00
12-03-94 $ 88.00
12-10-94 $ 88.00
12-17-94 $ 88.00
12-24-94 $ 88.00
12-31-94 $ 88.00
01-07-95 $ 88.00
01-14-95 S 88.00
Claim Week Overpaid
Ending Date Amount
01-21-95 $ 88.00
01-28-95 $ 88.00
02-04-95 $ 88.00
02-11-95 $ 88.00
02-18-95 $ 88.00
02-25-95 $ 88.00
Additional interest wm accrue on the balance due of the
above overpaid unemployment compensation benefits
after 6/3012001. For the total amount due on this lien,
phone (717) 787-4765.
71 01- ({)::J7 Civ; I
DOCKET #
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
o
KIMBERLY J ST AMY
52 JERVIS ST
TOLEDO OH 43609
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Claim Week
Endinl Date
Overpaid
Amount
Claim Week
Ending Date
Overpaid
Amount
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Filing Fee S 9.00
The undersigned, Assistant Director, Bureau of Unemployment Compensation Benefits and Allowances, Department of Labor and Industry of the
Commonwealth of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P.S. S 874(a) to repay the above overpaid unemployment
compensation benefits received by him/her together with interest thereon, charged per month or fraction of a month, beginning fifteen (15) days after the
Notice of Overpayment was issued and continuing until the overpaid benefits are repaid. The interest rate is determined by the Secretary of Revenue as
provided by Section 806 of the Fiscal Code. In accordance with 43 P .5. S S 874(a) and 788.1, the above overpaid unemployment compensation benefits and
interest are a lien upon the franchises and property, both real and personal, including after-acquired property, of the above person and attach thereto from
the date of entry of this Certified Copy of Lien.
~~~~
Julv 11. 2001
Date
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