02-08-1984 Council Agenda - Laserfiche WebLink

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4 CTR 83 MES -36A REV. 12/20/81 (ES -01 NOTICE OF BENEFITS CHARGED TO REIMBURSABLE ACCOUNT 7991194 PG. 1 MINNESOTA DEPARTMENT OF ECONOMIC SECURITY 390 N. ROBERT STREET ST. PAUL, MINNESOTA 55101 DATE OF MAILING PROTEST PERIOD: ')1/27/ 30 DAY: 111 EMPLOYER NUMBER 121 CLAIMANTS NAME CLAIMANT'S SOCIAL 131 SECURITY NUMBER (41 YCAR xE ECTNS ISI WAGE CREDITS UPON wnlCry BENEFITS WERE EASED 16) PERCENTAGE IT) BENEFITS CHAR MO jDAY YR 7SE1194 -000 NT211��„�, s CITY 0: LITTLE CANADA id ATTN CITY CLERK 51.5 E LITTLE CANADA ROAD JAN 30 in,, LITTLE CANADA MN 55117 CITY OF LITTLE CAN',.- ;, ' 7981194 -000 HOR MATH THO 468 -60 -2195 10 -16 -83 2.843.10 80.882 666. *u* GRAND TOTAL * ** 666. THIS IS A NOTICE OF THE CHARGES MADE TO YOUR ACCOUNT FOR THE PERIOD SHOWN IN THE TOP LEFT CORNER. COLUMN 5 CONTAINS A RE EACH CLAIMANTS TOTAL BASE PERIOD WAGES EARNED IN YOUR EMPLOY. IN COLUMN 6 WE HAVE RECORDED THE PERCENTAGE WHICH EACI COLUMN 5 BEARS TO THE TOTAL WAGE CREDITS EARNED BY THE INDIVIDUAL WITH ALL BASE PERIOD EMPLOYERS. THE CHARGES RECORDED IN 7 REPRESENT THE RESULT OBTAINED BY APPLYING THE PERCENTAGES IN COLUMN 6 TO THE ACTUAL BENEFIT AMOUNTS PAID TO THE CLAIMAN' THIS PARTICULAR PERIOD. IF YOU WISH TO QUESTION THE ACCURACY OF ANY ITEM APPEARING ON THIS STATEMENT. YOU HAVE 30 DAYS FROM THE DATE OF THIS STATE FILE A WRITTEN PROTEST DIRECTED TO THE ACCOUNTING SECTION OF THIS DEPARTMENT (TEL. NO. 296 - 61411. PLEASE NOTE, HOWEVER, 'MAT T EFIT STATUS OF 'HE CLAIMANTS IS NO LONGER SUBJECT TO ATTACK, EXCEPT FOR FRAUD. RETURN ONE COPY WITHIN 30 DAYS WITH YOUR CHECK, MADE PAYABLE TO 111E MINNESOTA UC FUND, FOR THE TOTAL AMOUNT IN COLUMN THIS IS A BILL.'IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS, INTEREST WILL BE ASSESSED. INTEREST MUST BE PAID ON PROTESTED CHARGES IF DECISION IS IN OUR FAVOR AND PAYMENT IS LP