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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFJ,ED COPY OF LIEN
ML h{i f ('i,ve
CI'G HI'It~ l&v ,J'/ 1 fA
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. S S 874(10) 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.
Social Security Account Number: XXX-XX-1923
Job Center # 0996
cl.im Week Overpaid
Endlns DRe Amount
04121101 $170,00
04128/01 $170,00
05/05/01 $170.00
05/12/01 $170.00
05/19/01 $170.00
05126/01 $170.00
06/02/01 $170.00
06/16/01 $170.00
06123/01 $170,00
06/30/01 $170.00
07107101 $170.00
07/14/01 $170.00
07121/01 $170,00
07128/01 $170.00
Cl.im Week Overpaid
Eneftne D~e Amount
08/04/01 $170.OC
08/11/01 $170.00
Additonal interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 01131106. For the total amount due
on this lien, phone (717) 783-3140,
DOCKET # () I., III "( C. ~,.<:) / u-
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
TRACI L. MILLER
POBOX 292
BOILING SPRINGS, PA. 17007
CI.im Week
Endln, Date
C.1.'m Week
Endin. Date
Overpaid
Amount
Overpaid
Amount
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Minus Amount Repaid $0.00
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Fiil~g'F;; ..., ..---, $14.00
The undenttned) Autstant Otrector, Bureau of Unemployment Compensatton Benefits and Allowances, Department of Labor and Industry of the
Commonwealth of Pennsylwnta, certifies that the above person is abllpted, pursuant to 43 P.S. S 874(8) to repay the above overpaid
unemployment compennt\on beneflts received by htmlher tolether with Interest thereon, charted per month or fraction of a month,
bestnntn. flfteen (15) days after the Nottce of Overpayment was Issued and contlnulnl unttl the overpatd beneflts are repaid. The Interest rate
Is determined by the Secretary of Revenue as provided by Section 806 of the Flsc.1 Code. In accordance with 43 P.S. 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 penonal,
Includtnl after~BCquired property, of the above penon and attach thereto from the date of entry of thts Certlfled Copy of Lten.
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Chief of UI Claims Services
February 17, 2006
Date
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