HomeMy WebLinkAbout01-5456UC-728 REV, 6-98
IN THE COURT OF COMMON PLEAS OF
COUNt,, PENNSYLVANIA
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CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S. § 788.1,
this is a Certified Copy of Lien for
unpaid unemployment compensation
contributions, interest and penalties to
be entered o! record by you and
indexed as judgments are indexed.
DOCKET # O/- ~-z/~%.
DATE ENTERED q-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
Kenneth G. Burry I-~l -~
lly & T/A .-- ~
Individua ~?~. ~
Ken's Electric '< '
401 Pine Road ~ ,-
, Mt. Holly Springs, PA 17065 ~; .: :z
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-18769-0
AD Number: .~O/c/~ ~
CONTRIBUTION CONTRIBUTION AND / OR LATE REPORT/
QTR/YR, DUE PAID/CREDIT BALANCE CONTRIBUTION PAID LATE' DISHONORED CHECK
3/00AS 421.01 421.02 34.03 42.10
4/00AS 421.01 421.02 25.26 42.10
1/01AS 317.49 317.49 11.91 31.75
I sub-total 1,159.53 71.20 115.95
Additional interest is to be computed on the above balance of unpaid unemployment Filing Fee(s)
compensation contributions at the rate determined by the Secretary of Revenue .A~8~ ~ L~
under Section 806 of the Fiscal Code, 72 P,S, § 806, per month, or fraction of a Additional Interest
monm, from 9/30/01
R. SCOT MiEDRICH DATE
TO BE RETAINED BY RECORDING OFFICE
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