E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 26 4:15 PM SAC - CLERK OF DISTRICT COURT
470-2608 (Rev. 03/13) * 8 7 9 6 7 9 *
IN THE IOWA DISTRICT COURT FOR SAC COUNTY


STATE OF IOWA E! RE"
#.H. $INOR CHI"D
#e%&%&'(e)

v*.

DONA"D CHRIS HOUT
Re*+'(,e(%.


NO.

2-2C A##RO.A" ORDER

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C/1+%e) 2-2C %/e C',e '4 I'61. T/e C'5)% /1v&(9 )ev&e6e, *10e 4&(,* %/1% (' ,e4e2%* 1++e1) '( %/e 412e '4 %/e
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Se(, %'<
DONA"D C. HOUT

=ANE E. HOUT


CSC N'. 87>67>


E-FILED 2014 JUN 27 9:21 AM SAC - CLERK OF DISTRICT COURT
State of Iowa Courts
Type: OTHER ORDER
Case Number Case Title
DRCV019525 STATE OF IOWA VS HOUT, DONALD C
So Ordered
Electronically signed on 2014-06-27 09:21:13 page 2 of 2
E-FILED 2014 JUN 27 9:21 AM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 27 3:42 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 JUN 27 3:42 PM SAC - CLERK OF DISTRICT COURT
CS 3101-5 (Rev. 8/12) 470-0187
Clerk of Court:
Iowa Department of Human Services CASEWRK: PGCTR
To Clerk of District Court In and For CONAME County
From: Iowa Department of Human Services Date: DATE
CSRUADD1
CSRUADD2
CSRUCITY/ST/ZIP
To: Clerk of District Court
CLERKADD1
CLERKADD2
CLERKCITY/ST/ZIP
PET1
PET2
PET3
PET4
PET5
PET6
Petitioner/Payee,
vs.
RESP1
RESP2
Respondent/Payor,
2RESP1
2RESP2
2RESP3
Assignment of Support Payments
Court Order #: ORDERNO
ICAR Number: ICARNO
IABC Number: IABCNO
Payee Name: OBLIGEE
( X ) Pursuant to the Code of Iowa, Sections 239B.6 and 252A.13, you are hereby
notified that support payments are assigned to the Iowa Department of Human
Services effective the CSPAYDAY day of CSPAYMNTH, CSPAYYR.
( X ) Pursuant to the Federal Regulations 42 CFR 433.146 and the Iowa Administrative
Code 441--75.14(4), you are hereby notified that medical support payments are
assigned to the Iowa Department of Human Services, effective the
CSPAYDAY day of CSPAYMNTH, CSPAYYR.
You are further advised that the Iowa Department of Human Services, pursuant to the
assignment entered herein, remains entitled to any delinquency which is accrued as of the
effective date of any subsequent termination and the Department specifically reserves its right
to said delinquency.
All correspondence and support payments received by your office, after the receipt of this
notice, shall be forwarded with the above ICAR number to the following address:
Collection Services Center
PO Box 9125
Des Moines IA 50306-9125
81
DRL7
SAC
06/27/2014
625 N WEST ST
P.O. BOX 937
CARROLL, IA 51401
100 NW STATE ST 12
SAC CITY, IA 50583
DRCV019525
STATE OF IOWA, EX REL,
P.H., MINOR CHILD
0879679
F002230101
JANE E. HOUT
X
1ST MARCH, 2014.
X
1ST MARCH, 2014.
DONALD CHRIS HOUT
E-FILED 2014 JUL 01 3:02 AM SAC - CLERK OF DISTRICT COURT