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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET # O~ - (, 7{'" ~ ~
DATE ENTERED:
C~T~FIED COPY OF LIEN
it. 11 w (V.aU f?~ 1'i'5 'gSJ./
CIt./1!{t} r
TO THE PROTHONOTARY OF SAID COURT:
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 judsments are
indexed.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
RICHARD L. DICK
671 OLD MILL ROAD
NEWVILLE, PA 17241
Social Security Account Number: XXX-XX-3614
Job Center # 0996
Claim W_k OvelpAld
Endinl Date Amount
01/19/02 $406.00
02109/02 $269.00
02116/02 $442.00
03/02102 $442.00
03/09/02 $442.00
03/16/02 $442.00
03/23/02 $442.00
03/30/02 $442.00
04/06/02 $442.00
04/13/02 $442.00
Claim W_k
Endinl Date
OvelpAld
Amount
Claim Week
Enclinl Date
OVelpAld
Amount
Claim W_k
Endilll Date
Additonal interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 10/31/06. For the total amount due
on this lien, p'hone (717) 783-3140.
OvelpAld
Amount
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Mtnus Amount Repaid $0.00
~:_:!I.~:.::!:!l:::::~::::::::~:::::::::::~:::~:~::~:~:~::::~::::::::~:~:::::::::~:~:~:~::~::::!:::::!::::::::::::::::::::~:~:II~I!:I:~II~
Plus Interest $1,073.52
:~I!:I!::::::::::::::::::::::::::::::::::::::::::::~:~:~:~::::::::::::::::::::::::::::::::::::::::::::::::::::::::!:::::!::::::::::::::::~:::~:~:::::::~::::~::~:::::::::::::::::II~!~:~!:
The undersllned, Assistant Director, Bureau of Unemployment Compensation Benefits and Allowances, Department of Labor and Industry of the
Commonwealth of Pennsylvania, certifies that the above person Is obllpted, pursuant to 43 P.S. I 874(a) to repay the above overpaid
unemployment compensation benefits received by hlmlher topther with Interest thereon, charJeCl per month or fraction of a month,
beslnnlnl fifteen (15) days after the Notice of Overpayment was Issued and contlnulnl until the overpaid benefits are repaid. The Interest rate
is determined by the Secretary of Revenue as provided by Section 806 of the Fiscal 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 personal,
Includlnl after-acquired property, of the above person and attach thereto from the date of entry of this Certified Copy of Lien.
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Chief of UI Claims Services
November 17,2006
Date
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