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REV-1699/CM AFP(D/89)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COMPLIANCE
DEPT. 280946
HARRISBURG, PA 17128-0946
SUGGESTION OF NONPAYMENT
AND
AVERMENT
-------------------------------------------------------------------------------------------.-....---.-....-.....
-----------------------------------------------------------------------------------------------.-.-.-.-.-....-.-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TO THE COURT OF COMMON PLEAS OF
CUMBERLAND
COUNTY
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DOCt:ET I/O.
:n6Hr.VRlJ
James C. McCombs, Jr. Individually
and as President of:
Lock, Stock, Barrel and Bow, Inc.
80 Wagner Drive
Carlisle. PA 17013
DATE FILED
9-21-89
SALES TAX
CLASS OF TAX
ACCOUNT NUMBER 21-163280
ASSESSMENT NUMBER(S)
CO-99999
JC8909-9004
$4,834.13
-----------------------------------------.-----------------------------------...-.------------------------------
TO THE PROTHONOTARY OF SAID COURT,
AND NOW, , the Commonweelth of Penneylvenie, by the Secretery of
Revenue, Claimant herein, auggests of record that the above cleim is still due and
owing to the claiment, and avers that the above named defandent is atill in default
for nonpayment thereof, The prothonotary is directed to enter this suggestion end
everment on the proper docket of ssid cleim, and c13Q to index it in the judgment
index for the purpose of continuing the lien of said claim,
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SECRETARY OF REVENUE
(or Authorized Delegate)
ASF7.27 (l)
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