HomeMy WebLinkAbout01-5046UC-728 REV. 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
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: 21-17860 8
DOCKET # O/-
DATE ENTERED
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
BIG DOG AUTO SALES
1073 HARRISBURG PIK~
CARLISLE PA 17013
AD Number: 291164
CONTRIBUTION INTEREST CUE ON UNPAID PENALTY DUE
CONTRIBUTION AND / OR LATE REPORT/
QTR/YR. DUE PAID/CREDIT BALANCE CONT.,BU~ON R^,D L^T~, ~,SHONO.~D CHEC,
3-00 WE .00 .00 .00
3-00 1 , 179.42 · 00 1 , 179 · 42 86 . 49 117 · 94
I lr 179.42 86.49 117.9~
sub-total
Additional intere~ ia to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determined by the Saoratary of Revenue
under Section 806 of the Re(;al Code, 72 P,S. § 806, per month, or fraction of a
month, from 08/31/2001
? .......... .......
Additional Interest
R. SCOT MIEDRICH DATE
TO BE RETAINED BY RECORDING OFFICE
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