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06-0470
IN THE COURT OF COMMON PLEAS OF C\lMB~RLAND COUNTY, PENNSYLVANIA fd. I-UR! .. JI.I c'C CERTIFItD COPY OF LIEN t.k J:2 7(;'1 !2u--- /1'.1) 1'1 TO THE PROTHONOTARY OF SAID COURT: DOCKET /I 01... '-( 7() C~-.1 '-r;~ DATE ENTERED: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND 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. vs. RAWLINS T. GRAY 2 STEPHEN TERRACE A-1 CAMP Hill, PA 17011 Social Security Account Number: XXX-XX-0194 Job Center /I 0996 Claim Week Overpaid Claim Week Overpaid Ending Date Amount Ending Date Amount 04/15/00 $328.00 04/22/00 $328.00 04/29/00 $328.00 05/06/00 $328.00 05/13/00 $328.00 OS/20/00 $328.00 OS/27/00 $328.00 06/03/00 $328.00 06/10/00 $328.00 06/17/00 $328.00 06/24/00 $328.00 07/01100 $328.00 07/08/00 $328.00 Claim Week Ending Date Overpaid Amount Claim Week Endinl Date Overpaid Amount -' t''-.... C":, '.:', ,,,^ c~) "q :::::i -'-' ~- f',' ,., "',., c": Addltonal interest will accrue on the balance due of the above overpaid unemployment compensation benefits after 12/31/05. For the total amount due on this lien, phone (717) 783-3140. Minus Amount Repaid $500.00 $14.00 The understgned, Assistant Director, Bureau of Unemployment CompenSlltlon Benefits and Allowances, Department of Labor and Industry of the Commonwealth of Pennsylvania, certifies that the above person is obligated, pursuant to 43 P.S. ! 874(a) to repay the above overpaid unemployment compensation benefits received by him/her together w;th interest thereon, charged per month or fraction of a month, beginning fifteen (15) days after the Notice of Overpayment was Issued and continuing until the overpaid benefits are repaid. The ;nterest rate is determ;ned by the Secretary of Revenue as provided by Section 806 of the Fiscal Code. In accordance w;th 43 P.S. Ii Ii 874(a) and 788.1, the above overpaid unemployment compensation benefits and Interest are a lien upon the franchises and property, both real and personal, including after-acquired property, of the above person and attach thereto from the date of entry of this Certified Copy of Uen. ""\ n \,,!) n " .~ 1v'>,,"~/~::"'<:",f.>-t:>':...- (~~~:J.' u' Chief of UI Claims Services January 20, 2006 Date \ o ~ (T\ (T\ ~ ~ B o o ~ ~ "'" :;Ec5[lE.:i :f:i 0--<0-0 (tl -' _' -0 ,- (tl '" :50~~ ::::0-";5' 0-. :1 ~S.~3 :;j:;j~(tlO 0'" '" 0- (tl c :f c ;>"(f)~(tl .-1\> ...(tl-o ;:"(tl '" 003 :;j 0;::\:0~1\> '" ..0 ("'-nCO) ~()O)..- o I\> (tl _.;:.. 0-0 "0 C <:i ~ I\> -' - C 3 -' 0- '" o 0 ~ 3 ~ (tl "' (tl ......\E,O'~-o@ 0~(tl:5 c:5~IE. iD ? '" ~, __ CD -' co Z ~ -I ~. 0 -n ~ I\> :;j (f)-O 0 _' 0- g 0 :;j ?~ ~ 0 ---tP-- c:. (tl(tl~s. - :;j'" IE.~ ~ I;, :;j -10'1\>630 ~o 0- ~. ~ '$ g.. g. cO '" Q:lc:;jO(tl- 0s.~0' ~0 '" 0-56.... ('" - 0 <ftOO-~:;jc _;::t-<l> o.g 0 0 VJ" - r-t'? O-~ (tl ~"'o(tll\> rn :;j ......-06. (f)(tl 9?, z'O 3 (tl0:;j:;j0' :;j~ -\ ~ ~~~ ~% ~o:. __0 :fo -:;E C :f ~ -' g......- 0 ~ '" '0 -' 0 ~ (tl- :;j ?..... -'- :53(tl(tl '" ",-"/ -. C. 0 S' ~~ ~,2: fi 0' -0 0' 1\>:f~0-0- ~(tl ('" 10 <::0) "'3 :59?,(tl~ ~. (tl <1> I\> 5 <1> :;j ~ :f ~~3 I\> '" :;j~ ~~. <1> ::!' <1> '-\ '" 0- ~ :;E g <fl' _' 0. ~ ~$ ~.~~ '" :5 00~0 <1> -' :J'> - I\> -' '" 0 ...... :;j 0 E..~~~ ' ",-~ ~ (ii' -110 0 ~ <1> _' :5 :;j 0-0-1\>:5 ?3-:::~ 0-:5 ...... 3 0'0':;j-' <1> I\> 0 0 l'.:l -0 <1> -' <1> <1><1>:5 ~ ...... <1> <1> I\> ~ 01\><1>:f o '" -n :;j 31\>Cul <1> :;j ~ <1> -0' ~ 0' '" ~~~0 ","'<1>0 :f(tl ",_0 -. <1> <1> I\> 1\>:5<1>0 '" :;j ~. <1>~3:5 --\ g, 0 .2 IE..O' 3 :;j - ~ 0 ~ :;j 0- 0--0 ~ ....~.... 3 o ~ <1> o~-'1' d". ro (jJ ~ 0) ....0,2:- 000 0 00- 0 (T\ (tl "'c- ~ :;E :JJ <1> :;j :5:f30 I\>~g~ -n ~ 0- ~ <1> <1> <1> (tl ....... -0 -" g C '0 ~-:;j? w"_r.P<O ~ $ 0""- ZO?~ :f ~ g 0- :;E 0 (ii' -00- 2 I\> g (tl f;j'.:5 (tl B (tl :;j @(tl00- _.;:.. 0 0 -0 ~ ~ 0- ",~30 (/)..:..:::.(t)~ ~ ~ '" --0 _ - -0 0 O'~(tl~ (ii' 3 -' (tl ~ ::J:J ~ ~ (tl o:;j 0 :;j I\> (fl :;j 0 (T\ (tl 00"';>" .-<I\>:;j :;j 0 ':i? ~~. 0 ~O'~~ 0 ~ ~ 0 ." ? 0 -- (tl(tl:5- Pi :JJ 0 9?,:;j-S C) - 0 c:::: 0 0- .2 ~ (tl C ~ ~. ~ .z (tl '" o -n 0 ..... _" N _" S- o '" -C:;j c;(tl(tll\> 0 '" g:;j(tl :;j0-0-- -n (tl O-~ -n 0 (T\ -u0 (T\(T\ 2~ 2_ O~-n O~- ~~B -U~O ~_O (J)~~ ~20 -(T\-n O~r- 2-uiTI r-r-2 ~9.c ~2 (T\O ~~ COO 2 %0 (T\ J>~ ~ ~~ r- ~O 9.--\~~ ~O--\(T\ (T\--\OJ> ~m-nC\ <o:OC!j;.:!: (J)~%~~ -u0:JJ-u (T\-n (T\ 2--\~2 \m \ \ ~ -n (J)'Z C '-\- 2 ::J:JJ> o :..:: Z --\ :!: rn o o c ~ 00 O-n CO 20 --\~ :<~ -u0 (T\2 2-U 2r- <2.g: ~(J) ~~ S;