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IN THE COURT OF COMMON PLEAS OF
:'UMBERLAND COUNTY, PENNSYLVANIA
DOCKET # () ~ ~ (, 1(, 7 ~ rr:....-
DATE ENTERED:
q:RT1FIED COPY OF LIEN
fa.. (J4I ' /4.00 -
a I'M 9 if (Q". J '1 ';) f!if
TO THE PROTHONOTARY OF SAID COURT:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
Pursuant to 43 P.S. S S 874(a) and 788.1, this is a
Cert;tied Copy of Lien for overpaid unemployment
compensation benefits and interest to be entered of
record by you and indexed as judsments are
indexed.
CHARLES A. HUMMEL
104 E. WILLOW STREET
CARLISLE, PA 17013
Social Security Account Number: XXX-XX-1874
Job Center # 0996
Claim W_k
Endinl Date
OvelpAld
Amount
04/14/01
04/21/01
04/28/01
05/05/01
05/12/01
05/19/01
OS/26/01
06/02/01
06/09/01
06/16/01
06/23/01
06/30/01
07/07/01
07/14/01
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
Claim W_k
Endinl Date
07/21/01
07/28/01
08/04/01
08/11/01
08/18/01
08/25/01
Claim W_k
Endinl Date
OvelpAld
Amount
Claim W_k
Endinl Date
OvelpAid
Amount
OvelpAld
Amount
$262.00
$262.00
$262.00
$262.00
$262.00
$262.00
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Mtnus Amount Repatd $0.00
:~_j!I.:j.!I:::::::::~:::::~:::::::::jj::j!:I:::::~::::::::!::::j::i:j!::!:!::!!::::::!!::::!:!:::j:!:!:j::!!:!:!!::!:!:j:::III.~II:
Plus Interest $1,178.84
:'I!jl!::!:j:~:::j:j:j::::~:::~:::::::::::::::::::j:::::::::~:::::::::::~~~~::I::::~!::::~::::!~!:::!::::~::!:::::::~:::t::!::::::~j:::j:!:::i~\:i:i~::i::~::::!::::::::~:II'!!:
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, phone (717) 783-3140.
The undersll"ed, 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 oblllated, pursuant to 43 P.S. I 874(a) to repay the above overpaid
unemployment compensation benefits received by hlmlher topther with Interest thereon, charpd per month or fraction of a month,
bealnnlnl fifteen (15) days after the Notice of Overpayment was Issued and continulnl 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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