HomeMy WebLinkAbout05-4767
OTRlYR. CONTRIBUTION
DUE PAID/CREDIT
3-04 WE 10.33 10.33
3-04 123.76 123.76
4-04 WE 10.97 10.97
4-04 59.62 43.40
1-05 WE 11.54 11.54
1-05 750.62 .00
UC-728 REV. 4-04
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
-Pd. P.1l f /'O/v
~ loS3J
i!<.(..../I, J j/l)/-s
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 are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18439 &
AD Number:
312955
r.......)
'. J j ~--!
~ i .:
DOCKET'#
DATE ENTERED
C'-:,
'jLt. . b 5' 4 7 (. 7 ~'-r:....
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
.
SOUTH PHILLY HOAGIES*
NOTH I NG I NCORPORATED.tf
4955 A CARLISLE PIKE
MECHANICSBURG PA 17055
.
BALANCE
INTEREST DUE ON UNPAID
CONTRIBUTION AND I OR
CONTRIBUTION PAID LATE.
PENAL TV DUE
LATE REPORT I
DISHONORED CHEC
.00
.00
.00
16.22
.00
750.62
.01
25.01
.01
25.01
.01
76.2
4.25
1. 60
12.61
sub-total
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 08/31/2005
Additional Interest
The undersigned, Assistant Director, Office of Unemployment Compensation Taw Services, Department of Labor and Industry, certifies that the above unemployment compensation
contributions, interest and penalties are due and payable by the above named defendant under the prOVisions of the Pennsylvania Unemployment Compensation Law. Pursuant to Section
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, of
'" '6~' ~. ~,,' "".., 'com ". om. ".m,.." C~." Co," · "..
SALLY L. FUHRER
Assistant Director, Office of Unemployment Compensation Taw Services
TO BE RETAINED BY RECORDING OFFICE
08/26/2005
DATE
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