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IN THE COURT OF COMMON PLEAS OF
C.:VMB~RLAND COUNTY , PENNSYLVANIA
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CERTIF{ED COPY OF LIEN
elL. Jfbv'l ~ /87/74-
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to 43 P.S. 5 5 874(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.
Social Security Account Number: XXX-XX-9972
Job Center # 0996
Claim Week Overpaid
Ending Date Amount
03/31/01 $265.00
04/07/01 $265.00
04/14/01 $265.00
04/21/01 $265.00
04/28/01 $265.00
05/05/01 $265.00
05/12/01 $265.00
05/19/01 $265.00
OS/26/01 $265.00
06/02/01 $265.00
06/09/01 $265.00
06/16/01 $265.00
06/23/01 $265.00
06/30/01 $265.00
Claim Week Overpaid
Ending Date Amount
07/07/01 $265.00
07/14/01 $265.00
07/21/01 $265.00
Additonal interest will accrue on the balance due of
the above overpaid unemployment compensation
benefits after 11/30/06. For the total amount due
on this lien, phone (717) 783-3140.
DOCKET # () '1. .3 I C.u;;....t
DATE ENTERED:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs.
CHARLES R. TALHELM
853 BLANCHARD AVENUE
CHAMBERSBURG,PA.17201
Claim Week
Ending Date
Overpaid
Amount
Claim Week
Endllll Date
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It-(....,
Overpaid
Amount
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Minus Amount Repaid $0.00
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Plus Interest $1,441.32
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The undersll"ed, Assistant Director, Bureau of Unemployment Compensation Benefits and Allowances, Department of Labor and Industry of the
Commonwealth of Pennsylvanl., 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 totether with Interest thereon, charJed per month or fraction of a month,
beatnnln, 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,
Includlnll after-acaulred orODertv. of the .bove Derson and attach thereto from the date of entry of this Certified Copy of Lien.
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Chief of UI Claims Services
December 15,2006
Date
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