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05-4769
UC-728 REV. 4-04 c (.-- !",--.,) (":" ., , , -i I --I c.') IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA f{l. p~' : /'I.W tP0 10531 12u.- ) (, ,. <; flq' CERTIFIED COpy OF LIEN \. ~ 1 DOCKET # DATE ENTERED: 720 , 0,) - Y 7 & 'f ~.;j -z;:... 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. . GLOBAL SAFETY SERVICES INC C/o RICHARD L ROHRER 324 CANDLELIGHT DR MECHANICSBURG PA 17055 . PENNSYLVANIA EMPLOYER ACCOUNT NUMBER: 21-14119 4 AD Number: 312926 CONTRIBUTION INTEREST DUE ON UNPAID PENAL TV DUE OTRlYR. CONTRIBUTION AND / OR LATE REPORT/ DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE. DISHONORED CHECW 1-03 WE 4.08 4.08 .00 .00 1-03 1,505.73 595.92 909.81 142.78 150.98 I sub-total 909.81 142.78 150.98 Idditional interest is to be computed on the above balance of unpaid unemployment :ompensation contributions at the rate determined by the Secretary of Revenue Inder Section 806 of the Fiscal Code, 72 P.S, ~ 806, per month, or fraction of a nonth, from 0 8 / 3 1 / 2 0 0 5 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~' '"' M'" "".0 "om.. ,", '" """ '" "" C"',,, CO" '" "". 08/26/2005 DATE SALLY L. FUHRER Assistant Director, Office of Unemployment Compensation Taw Serllices TO BE RETAINED BY RECORDING OFFICE Q) -III .:s Q) ci -0 0,- 0'- 0 C Q) .....Q)- 0 '- .c. ~-%O ,- '- 0 cl- :::OQ) ',p 0 'ID~ ~ C ,- C. 0 ~~~ 0 ..... "'(OQ)..... ,>"Z c. (/)~ .s ~ S .':::~.,... co.....'- O'c. C '.0 0 ~.'!! 'co o..CO .~ Q) 0 '- U ~o .....C 0 CO 0 Q)-S~ Q)O..... SO - Q) -00- '- -:S Q)cQ) cooQ) o.c. -Q) 0 -0 -sog E<C.- 00.. Q) - Q) ..... g-c '- oQ) '>" -0 01 - .....IIIQ) <C.O; 0 '- 0 0. Q) CO to ..... Q),-~ ..... .c. - 0' '>" . Q) C -oQ)O III -o-tO & ~ 0 ~ .~"S~ Ob- Q) 0;10 0 ~o'" -Q) 0 ~o'ro -n -?:" :::oQ)Q) '>" 0.. .c. 's; '- ~ C >."'Q) Q)E.... .... ..... 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