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05-4954
UC-728 REV. 4-04 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Pcl, l-4/ q 11./, au c-k.. It!) 7 (, ~. II.tRf1~O 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- 2 0 11 0 3 AD Number: 313369 OTRlYR. CONTRIBUTION DUE PAID/CREDIT 3-03 WE 7.33 7.33 3-03 169.64 169.64 4-03 WE 5.46 5.46 4-03 57.68 57.68 1-04 WE 20.63 20.63 1-04 1,241.06 1,179.74 2-04 WE 20.02 20.02 2-04 347.16 .00 3-04 WE 20.26 20.26 3-04 .00 .00 4-04 WE 19.24 19.24 4-04 261.81 261.81 sub-total DOCKET # O.~ - 1./9 c;ll c.;,.J -;; DATE ENTERED COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND vs. . LEAHY'S AUTO COLLISION REPAIR INC 1051 COLUMBUS AVE LEMOYNE PA 17043 . :::=1 .-<. BALANCE INTEREST DUE DN UNPAID CDNTRIBUTlON AND / OR CONTRIBUTION PAID LATE. .00 .00 .00 .00 .00 61.32 .00 347.16 .00 .00 .00 .00 10.77 3.11 61.85 19.38 .47 5.69 ~ c:::> = CJ1 (/) f'T'1 -0 1"" N o II ::-r.,., nlp ~.Q1 '~/Q ,........ ' ~::-':~) '"T- ,", (5~; i~~ ~"1 ...::.\ ;>- ..rJ -< -0 -":<,.... N .j:- ~ PENAL TV DUE LATE REPORT/ DISHONORED CHECK .00 25.00 .00 25.00 .00 126.17 .00 36.72 25.00 .00 .00 28.11 .dditional interest is to be computed on the above balance of unpaid unemployment ompensation contributions at the rate determined by the Secretary of Revenue nder Section 806 of the Fiscal Code, 72 P.S. ~ 806, per month, or fraction of a 1onth, from 0 9 / 3 0 / 2 0 0 5 Additional Interest The undersigned, Assistant Director, Office of Unemployment Compensation TaK 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 Pennsylvania Unemployment Compensation Law. Pursuant to Section ~08.1 of said Law, 4~ P.S. 9 768.1, the above contributions, interest and penalties are a lien upon the franchises and property, both real and personal, Including after acquired property, of ". ."(J~~"" ~""" ..... 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