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HomeMy WebLinkAbout05-4720 UC-728 REV. 4-04 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Ai.. I?1f r N. trV CL /DS'i If f).a I~f tl f 'I CE'ATIFIED COpy OF LIEN DATE ENTERED DOCKET # 0.)- 47,;)0 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND 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. vs. . R C SKELLY INC 29 PINE TREE DRIVE MECHANICSBURG PA 17055 . PENNSYLVANIA EMPLOYER ACCOUNT NUMBER: 21-15068 1 ~:~ C.""; 1.'1 AD Number: t'V 313055 QTRlYR. CONTRIBUTION DUE PAID/CREDIT 3-04 WE 180.63 180.63 3-04 2,756.22 .00 1-05 WE 176.88 176.88 1-05 20,730.38 .00 BALANCE INTERESt. DUE ON ll'N1"AID CONTRIBUTION AN[f."7;;:OR CONTRIBUT],cjN PAld:;ijTE. .00 2,756.22 .00 20,730.38 a 115.95 2:46.92 " 0 -'\ U1 (") en r"'1 f'1 CJ -0 -11 1 () N n P"i J ...1 rn -0 -., ::r;: c; ry 0 c:: f'.) :;r !,,""J sub-total r " '- rn ,...,-..-1 ::::-/ Additional interest is to be computed on the above balance of unpaid unemployment compensation contributions at the rate determined by the Secretary of Revenue under Section 806 of the Fiscal Code, 72 P.S. ~ 806, per month, or fraction of a month, from 0 8/ 3 1 / 2 0 0 5 .. .........FilingFee(sL.............. .....A,q(jitiqJ1~lg~g~I...y()$t~.................. . Additional Interest The undersigned, Assistant Director, Office of Unemployment Compensation Ta. Services, Department of Labor and industry, certifies that the above unemployment compensation contributions, Interest and penalties are due and payabie by the above named defendant under the provisions of the Pennsyivania Unemployment Compensation Law. Pursuant to Sectio 308.1 of said Law, 43 P.S. g 788.1, the above contributions, Interest and penalties are a lien upon the franchises and property, both real and personal, including after acquired property, c .., "'6~' ~. ~~" ..,,,,, "'. .., .., · ~'" · ,.., Co"". 0_. C," SALLY L. FUHRER OS/31/200! DATE Assistant Director, Office of Unempioyment Compensation Ta. Services TO BE RETAINED BY RECORDING OFFICE (\) ,.s (\) en "0 - UI o\.- e. (\) O'.t:. ......(\)- 0 0 \.- ~-%O ,- \.- 0 e.1- :::>(\) ..;:; ~-% ? e. o ' ..g?~ ..0 0 .~~S (/)? '% .r:. ...... ,,;>-2 e. UI \.- ......:.== (\) '- Ole. 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