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IN THE COURT OP COMMON PLEAS OP CU"BERLAND
COUNTY. PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OP LABOR '" INDUSTRY
to tho we of tho
UNEMPLOYMENT COMPENSATION FUND
Dockot Number 95 6635 CIV
VI.
KARY ANN LISSE
519 LAVINA DRIVE
KECHANICSBURG PA 17055
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AUTHORITY TO SATISPY
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TO THE PROTHONOTARY OP SAID COURT:
NOW, to wit, FEBRUARY 12, 1996 tho Commonwealth of Pennsylvania.
Department of Labor and Industry, to the we or tho Unemployment Compensation Pund,
Plalntirr In the above action, through Its Chler Counsel. by Its Deputy Chler Counsel for
Employment Security, acknowledges haVing received or the Derendant above named rul1
payment and satisraction of the above captioned Lien. with tho Interest and costs thereon due
It; and desire that satisraction be entered upon the records thereor.
AND you, the Prothonotary or said Court, upon receipt by you or your costs, are
hereby authorized and empowered, In the name and stead or the Plalntlfr, to enter run
satisraction upon the record or said Lien as rul1y and errectually, to an Intents and purposes.
as wo could were we present In parson to do so; and ror so doing, this shall be your
surrlclent warrant or authority,
IN TESTIMONY WHEREOP. there Is hereunto arrlxed the ~I or the Department or
Labor and Industry, Commonwealth or Pennsylvania, this 12 TH day or FEBRUARY , 1996.
/..L. ~ e~?-..,~
SEAN F. CREEGIi
Deputy Chier Counsel ror Employment Security
ACCOUNT NO. 21-13728
AD NO. 260767
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lJC.721 REV. 3,a3
IN THE COURT OF COMMON PLEAS OF
CUKBERLANDCOUNlY, PENNSYLVANIA
.
DOCKEU CJ5.. LQl.v35
DATE ENTERED C-:...-.J) T.~."r"".
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CERTIFIED COpy OF LIEN
tI'l.cor\ (,At\ ,-\U,L'v'i ;<11 .'DU33
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INOUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
purauent to Section 308.1 01 the
Pennlylvenll Unemployment
Compensltlon Law, 43 P,S,1788.1,
thll II I Certllled Copy 01 Lien lor
unpsld unemployment compenlltlon
contrlbu1lons, Interelt end penlltlel to
be entered 01 record by you snd
Indexed 8e Judgmentl 8re Indexed.
VI.
.
KARY ANN LISSE
519 LAVINA DRIVE
HECHANICSBURG PA 17055
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tHllRUT aue ON UNPAID
COHTfUIUTlDN ANO I all
CONTIlIIUTlDN 'AID LA'L
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PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-13728 6
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AD Number: 260767
QTFVYR, CONTRIBUTION
DUE PAID/CREDIT
4-94 WE 2.05 .00
4-94 50.26 .00
4-94 CP
1-95 WE 5.74 .00
1-95 424.05 .00
1-95 CP
BALANCE
2.05
50.26
.0
3.92 52.3
52.31
.0
22.56 100.0
100.0
5.74
424.05
sub-totel
482.10
26.48 304.62
813.20
9.00
Addltlonallnteraatllto bl computld on tho abova blllnco of unpaid unomploymont
companutlon contrlbutlonl It tho lito dltermlnld by tho Socrotary 01 Rovonuo
under Soctlon 806 of tho F1lcII COdl, 72 P.S, I BOB, per month, or fraction of I
month,lrom 11/30/95
Total
FIling Fse(s)
Additional Legal Coste
Addltlonallnlerest
Satisfaction Amount
The \Ind.,llllnld. A.tlllAnt CUtctOt, TI' Aecovnting OMtlon.."'''U of Employ., T.. OperatIon., Cellaltmem or LabOr and lnd\ltt'Y. e~lf'I.. that tn. abOVt unemploym.nt CDrflptnut10n
cnntrlbutlonl. Inttrtlt and ptndl" "t due and ptyabl' by trIt abOtt named deftndant unalf trIt ptCNltlont rlll'lt P'MtylvtJ\l1 Untrnploymtrlt Conl~'ellon Law. Pufluan!to StctlO!'l
:toa,1 rI 'aid I.aw, 4' p,s., 7".1. trIellbovt ContnlNUonl,Int"..t Ind ~nIIU...,t. ...n upon tl'le franChI.., and P'~. Dolh fill and plttonll. tnduamg aftef Icqulred ~II1y, rI
thl 1b0000t namld cltftndan!ltld Iftttl'llhtttlo from thl dill or '""Y or thl, ClIIlfltd Copy CIA Uen.
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FRANCIS JlJ.cK~ -
""ltlan! Olrtc1Of, Ta. Accour4lnG OM'lon
, Burlau CIA EmplOV-f TI. Operlllont
11/03/95
DATE
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