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NO ICS Of- B ENE F 1 IS CHAHUEU 10 HEIMBUHSABLL ACCOUN1 E 707u7lo rue 1 <br /> MINNESOTA DEPARTMENT OF ECONOMIC SECURITY <br /> PERIOD 3 GTR 83 390 N. ROBERT STREET DATE OF MAILING 10/21483 <br /> ST. PAUL, MINNESOTA 55101 PROTEST PERIOD: 30 DAYS <br /> (4) BENEFIT yy AG[ C11ED1T5 <br /> I PLOY ER NUMBER 121 CLAIMANT'S NAME 13CLAIMANT'S SOCIAL YEA, I,EGIN5 IB) UPON REDIT IB) (7) <br /> SECURITY NUMBER MO. DAY YR BENEFITS WE,E BASED PERCENTAGE BENEFITS CHARGEABLE <br /> CITY kRCL ST ANTEONY 7S S098-000 <br /> C/O E JCHNSON CLERK <br /> 3301 SILVEF LAKE RC <br /> MINNEAPOLIS MN 55418 <br /> / t <br /> 7989098-000 REIRER WILL 469-80-6218 12-19-82 39378.00 42.633 199.52 <br /> 7589098-000 JENSEN SHER 473-72-4111 05-29-83 19569.00 20.765 161.55 <br /> 7589098-000 NOVED CYND,I/ 474-72-2572 04-03-83 29805.00 100.000 350.00 <br /> 7589098-000 BERG RCAALC 475-46-1585 01-09-83 219045.46 100.000 736.00 <br /> *** RAND TOTAL. *** 1,447.07* <br /> THIS IS A NOTICE OF THE CHARGES MADE TO YOUR ACCOUNT FOR THE PERIOD SHOWN IN THE TOP LEFT CORNER. COLUMN 5 CONTAINS A RECORD OF <br /> EACH CLAIMANTS TOTAL BASE PERIOD WAGES EARNED IN YOUR EMPLOY. IN COLUMN 6 WE HAVE RECORDED THE PERCENTAGE WHICH EACH ITEM IN <br /> COLUMN 5 BEARS TO THE TOTAL WAGE CREDITS EARNED BY THE INDIVIDUAL WITH ALL BASE PERIOD EMPLOYERS. THE CHARGES RECORDED IN COLUMN <br /> 7 REPRESENT THE RESULT OBTAINED BY APPLYING THE PERCENTAGES IN COLUMN 6 TO THE ACTUAL BENEFIT AMOUNTS PAID TO THE CLAIMANT DURING <br /> THIS PARTICULAR PERIOD. <br /> IF YOU WISH TO QUESTION THE ACCURACY OF ANY ITEM APPEARING ON THIS STATEMENT, YOU HAVE 30 DAYS FROM THE DATE OF THIS STATEMENT TO <br /> FILE A WRITTEN PROTEST DIRECTED TO THE ACCOUNTING SECTION OF THIS DEPARTMENT(TEL. NO. 296-6141). PLEASE NOTE, HOWEVER, THAT THE BEN- <br /> EFIT STATUS OF THE CLAIMANTS IS NO LONGER SUBJECT TO ATTACK, EXCEPT FOR FRAUD. <br /> RETURN ONE COPY WITHIN 30 DAYS WITH YOUR CHECK, MADE PAYABLE TO THE MINNESOTA UC FUND, FOR THE TOTAL AMOUNT IN COLUMN 7. <br /> THIS IS A BILL. IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS, INTEREST WILL BE ASSESSED. <br /> INTEREST MUST BE PAID ON PROTESTED CHARGES IF DECISION IS IN OUR FAVOR AND PAYMENT IS LATE. <br /> .. . , <br />