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94-04195
, ... ._ T.J........,j.,1 9'1- 419r f!M4 ~ 1 \ . NO. Civil 19 I I' I , u...~-~~.._--~ ~~~A_J , , , . , I 'I, , vs. ~ If ,,~~"'~ " \1 " .o..~. " ", I I I I' Court of Common Pleas Cumbo Co. " .. I I td' , if , I' I 1,1 I ',,"1, r ,',., , '~l,i"l- ~~ ~ ~)~I I ' .1' , ~, , ,. I ' ",' ,.1 t1 , J . ' , , , , , \, , ii r I " I " \ I .. , , . ' , ..~ , , , , , I' "I, I' , , , " UC'721 "'IV H3 IN THE COURT OF COMMON PLEAS OF CU HBERLIIN D COUNTY, PENNSVLVANIA * DOCKET If DATE ENTERED f\)O <7LI - LI/l)' ('v, 'It( iI' CERTIFIED COPY OF LIEN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LAJlOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND TO THE PROTHONOTARY OF SAID COURT: Purlulntto Slollon 308. I 01 the Plnnlylvlnll Unlmployment Complnllllon LIW, 43 P .8. t 788.1, thll II I Certified Copy 01 Lien lor unplld unemploymlnt oomplnllllQn oontrlbullonl, Int.rllt Ind plnllll.. to bl Inter.d 01 reoord by you Ind Indlx.d IIjudgm.ntl Ire Indexed. VI. PENNSYLVANIA EMPLOYER ACCOUNT NUMBER: 21 - 1 51 7 3 4 I ....,.. ELWOOD IIND IISSQ~lI1TE. INC BUITE 102 '; r->, lU s'rll'rE AV8NU't:. - CIIRLI SLE PII 17'(I~ 3 ' _ ", , '; . 'Ji.' ~ I ,) 1\ ,.... I' ',',I' ':1 ..." ....., ;11' ::;.c:: ~"'"I \~ p~ P ...... '0 q,Oo . 'i pd /JlId. AD Numb.r: 251739 OTRlYR, QUE CONTRIBUTION PAIO/CREOIT BALANCe ,h' Jl~ '011 (J. IJ p~,o (()hlll'IlLl"(Jt. "'~I) , 0::;11 Cllhlllll!\I"O!, ",. L: ,Iof{ "... .,.11 Q'~' 1I,.HOfY<)fII1I r"'(I 1-94 WE 1-94 2 5.74 1,437.40 .00 .00 25.74 1,437.40 26.60 lub-totll 1 463.14 25.60 1,468.74 9.00 Addltlon.llnt....I" to b. oompultd on Ih. .bove b.l.nc. 01 unp.ld un.mploym.nl comp.nntlon oontrlbullone II tn. relt det..mln.d by the S.crellry 01 Rev.nu. und.. S.otlon 80ll 01 Ih. Fleoll Code, 72 P,S 18~ll, p.. month, or Irlcllon 01 I monln,I,om 07/31/94 Total Filing Fee(s) Addltlonall.egal C081s Addltlonallnleresl Satisfaction Amounl TI'II Ul"ld.r'lgl"I'c1, AUI'I.", OI'IWJI, Ta. ACCOurlll'lQ QIVII'Or'l, Bu,..u of Employ,r r.. Op,r,'"OI'I'. D.pat1mlrl! 0' I.lbor ana Inol,l,lry, "r1I!1..I~.t tl'lt .bo~' un,mploy"'tnl comptn"lIon contnb"liont. Int".,t ,no P'"IUI" .,. 01.1' '''0 P.y.tll' by '"t .bo.... ".m.o 0"''''0.''1 u"o.r '"' PIO...'I,onl cr In. P.nnlylvlnl. lJl'llmploymlnt Campll'll,tlon ~! '. Pur,YI"t 10 i.cllon ;)01. \ 01 "Id I.'''''' U P.ll. I 711. ~, Ii'll .bo... corIIlO"!IOnl. 11':1.'''1 .nll p,n.'lIa. Ir. . 11.1' 101101' I". t'llnC~'''1 '''0 ploplny, bOl1'1 ,,,1 '1'10 111/'01'111, Including 1"11 ICO\,oII'O pIOP'It)', 0' Ii'll abowa namlo dlllnOlnl Ind IUIC" tI'Ilrllo Iram tl'l' 0111 0' Inlry ollt'lll CIP111'lll Cop)' a' 1.111'1 ~~, ~ C~.li 'II';'/'{ F~NCIS JiCK~ . V ( f! j ;11 , 3 {r ~ ;J.. AUI"I"'t OltlCtOI, Till .lccounling OIVII'on Bu/tllI ollmptOYlr rill Oplrallon. 07/18/94 OATE TO BE RETAINED BY RECORDING OFFICE ~ l . . 4 " 'll':: .r ' ~. \~ I,.) ., . , I " ~. ~ If, " '. . (".j /'1/ ,I:"~, ,I , , , I,; 'J I I ~ II , " Ii) , , , ij, J , c:::, " , "I, ~ \"'i 1"l.. J~ ~: , , -'I: ! :;' ~.l ~ ~~ ~~ ~ Ib ~ ~I . VI ~~~I ~ t ~ 8~ It, i~~~ ~ 1)00 !58 ..... ~ ~I ~ < ~ I 8 ~ ~ ~ " " 8~ ~ ~ , , " "j' , , , " , '! , , , ~ ; g ~ , ,