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HomeMy WebLinkAbout95-03913 t: ,~, . {t'" ., ~ '~ .. -... <::> \f\ N r-- j..... .. to; ~. . '~ I.~ ::! LJ J ~ -! 8 -.) .... \ ~ ~ c 1-> '.~~:~} , (-1- I ~. '" .!-: ( ...:..; 0 "-J"::; Y' . ' 0" .-:~; ~ 8' '1",1 l . I: :::1", 0.. '% LL . ..:.ill) ~ C. uJ '.10.. 'vi v, >: II.. ,... :.'.> (-' en (.J " - Z c ~8 5! Z m ;::: m :: 8 "0 :;ill:: 5 ....0 ::z c ;:. 00( m:E ~ ~ ::5?i~ 80 gg~~ ~8 ~ - I 8~!;:0 :! < .3:: '" I ::0 if" "03:: d "0.... "0 mo ~5-:;illm Zz '" "'nlll'Z ~"O ~ ~ -~ -<~ - ZOo( ~ '" o tl~ '"" Z c;:. ;:. -< '"" ~?: Zo c >'"" Z -<> tl UC.728 REV, 3.g3 IN THE COURT OF COMMON PLEAS OF CUH8ERLANDCOUNTY, PENNSYLVANIA CERTIFIED COpy OF LIEN TO THE PROTHONOTARY OF SAID COURT: Purlulntto Section 308.1 of the Pennlylvlnll Unemployment CompenllUon Llw. 43 P.S. t 788.1, thll II I Certified Copy 01 Lien lor unplld unemployment compenllUon contrlbu1lonl. Interelt Ind penllUelto be entered of record by you Ind Indexed II Judgmentl Ire Indexed. PENNSYLVANIA EMPLOYER ACCOUNT NUMBER: 21-17469 6, AD Number: 258426 CTRlYR. CONTRlaUTlON DUE PAID/CREDIT 1-94 WE 25.10 .00 1-94 640.02 .00 2-94 WE 28.01 28.01 2-94 714.37 271.99 3-94 WE 18.04 .00 3-94 460.01 .00 sub-total Addlllonlllnll,..II, 10 b, compul.d on Ihl Ibov. blllnc. 01 unplld un.mploym.nl camp.n..tlon contrlbutionl_t thl rat. d.t.rmln.d by the Seerlllry at Revenue under Slcllon 806 ollh. Fllc.1 Cod., 72 P,S, I e06, P"' month, 0' l'lcllon 01 . monlh,lrom 07 I 31 195 DOCKEU' i"j _ ,~' II) DATE ENTERED ('.."'.1"",, :)1~"rJ WI u,."r\ I 1.1 II "I'),.', I t:tl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOn AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSATION FUND va. . OHA D ROTZ INDIVIDUALLY & TIA COUNTRY CROSSING RESTAURANT 1106 EASY ROAD CARLISLE PA 17013 . aALANCE 25.10 640.02 .00 442.38 18.04 460.01 1 585.55 Total Filing Fee(s) Additional Legal Costs Addltlonallnterosl Satisfaction Amount . .. r.' ; l ~- -~J '~LJ ,,-'HllSI u....1! 01\1 UNPAID CO"'AIDUfIO" "1(0 I OR CO'i'AIBUlI0H PAID lAll. "....,'"_. """_'1 D'~D ,...tl 65.96 39.63 30.68 136.27 1,721.82 9.00 Tn, undt"'i"'lct. An"'lnt CHIClof, Ta. "'CI;OI,l",ln; [)Y"'O". Bul..... 01 E",pIC~" hi OOI'I,.onl, 010Irl"'II11 01 LillO' ,"'C1lnC...I,\. nltll;..,"" It'lt IbovI u",.mpIO)lml"1 CO~Il,"..IIO" CO"ITlbuIIO"I, Intl'nl I"d IlI"liUl Ifl aUI '''0 Illy,ln by 1"1 IDOwl "Im,a a,I,"a,"1 u"at' V'I P'O"IIIO"' 0'1"1 "'''''11!~'''0I' U"''''P1oymt"1 Comp,n..llon L...., PU',uI"tIO a'c110" 301.' of ulll LIW, ~3 P,S I nl',I", IDovI conlrIDuIIO"', mllrnl 11'111 pIMUI" 1'1 I ht'" upon t"'t hl"'"I''' .~O OfOlltrt>,'. bOI" 1111 1"1l1l1'IOMII, 1",lull'"1J 1"1' ICQullld plOPlrt>,', of '''1 IDO'It "l"'llllllll"lllnl 11'111 Inle" l"trtlO 110m 1111 lltll 0' 1"1,... of 1"111 Ctnltla COO)' 0' Lit" ~ FRANCIS :b.c~ Anllla"l OII1Clo', Ta. Accountlnll 011/1110" Buraau 01 Employll Tu O;trllIO"1 07/14/g5 DATE ...", o . 0-_ c{:. .. m... Gl 8 '0 ~~o 1i Gl 0 .. ~ tHi.9 i .. ~ l b,=>- [.. ~ U It,la ~ 58 ~ l 01 fi '" ~o.. r~ 6 'il lcQl ~ U... 50 U .. OU UQl 01 <- OJ: . Is ... Il 0 t;j g.c .. u2' ... .. ~"'Ql u_ >- ~ ,01 C m ~ <01 E 8. '!!Bl!! 0>-0 .. 0- '0_ ~ ~ ffi 0 ~Ql~ >-101 ~~ C -)( 01 fi :; 0 ~GlQl .... fi c .E . ~ofi o 0 ",0 ~ 0 "0 :!: ,!! .. 0 01 . l f .. '" mGl Il. 1l.3:" di c M > 0 - ca i l ....!!:!11:l _)( ., 0 0>.0 cp ?S: .. I GlE '0 Il. fi.a"'~ tS"'''' gO(D fiU ~ fi '0-- .d: MO oi tS -~ 1nli'~ -- ~ 6 l!5 UIl..a 0" ;;: i ~'~'O :JI 'OGl'O )((D- c" ~ )(,!! . oi~'~ Ql{:.- mc l ~ :: ,- " E ... ~ il!! ~1:l~ mOIi 010 i lD> ~~ .9 f OcnCQ- ~~~~ ~Bf .9 .a U._ '" I::: '" 01 ,c~ 1l~ m '" ",ell fiGlo tSc~o Oil. ~ U -\I g.... 1~ ] ... 2'0' Gl ... .. '- ....ticn ~l .. ~ 0 "'0 U 0", ~ "fic oc'Oa ",ij'O'" o~ ~ i' c' ,- '" >-1It.~ m ",Gl j~ ~'- > U - ~'- -e m ~ .:; Gl ~ '" fi.!!! 0 <<nc~ ::; m'O ,g"'1l- ~ofii ~ ~ c~<t '" '" ~ cO 0 U'Ol ,91 OlD ~ ~ ::J _ C -J~ ~ - >-- '" M c 6 i a.~:: :.l~ 0 0 'O'lii ,- 3: ~s" >-01 Is~ia .a .... ~ ~ 8'" jOGl'O .rls!S' ~ Ii! ~ ~ 'O~ ~loB i",~ ...~..Ql u.... ~ ~ 01 0.. a.Jj 01 "'0 cGlo ~~ ~.!!lli O~Dl ~ ~. -'li~~ U 0 I ~ g.,= '3licB '" 0 ~~o~ CE'" . Qli -a-'" 2 r!. '0 It! ,g-- fi_ i- fi - E ~ ,- "'-lD t .!:'!~ 00",>- CQlOE ~"" =~'t; {o...c Q) Gl_ '" ""- '" .. >-.~,.... ,- '" ~~ '~ nscu",Z Gl ~~ {:.~ ~...- Il.fi.. ..." {:. 0_ 0( l!5! 0( I Ul>! !! ~ ~i~ ~Ul >! ~ !I Ul~ ~ffi ~~~ ~j>l!5~ ~i -JIZ ~ti~~ ~ 0 ><1 l!5U &- ~ I r~ u~ 00 ~~o I~ t-I U 'It iiu ~ I ,~ ~ 8 c