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200401220 <br />IN THE DISTRICT COURT OF HALL COUNTY, NEBRASKA <br />COURT CASE NO. C1969001748 <br />ANDREA JOHNSON, <br />PETITIONER, <br />RELEASE OF LIEN ON SPECIFIC PROPERTY <br />VS. <br />FRANCIS WILLIAM JOHNSON JR, <br />RESPONDENT <br />COMES NOW THE STATE OF NEBRASKA, DEPARTMENT OF HEALTH AND HUMAN <br />SERVICES, BY AND THROUGH THE DIRECTOR'S DESIGNEE, AND DOES HEREBY RELEASE <br />THE LIEN FILED AS A RESULT OF JUDGMENT FOR CHILD /SPOUSAL SUPPORT AND /OR <br />MEDICAL REIMBURSEMENT ASSIGNED TO NEBRASKA DEPARTMENT OF HEALTH AND <br />HUMAN SERVICES. SAID LIEN RELEASE APPLIES ONLY TO THE SPECIFIC REAL PROPERTY <br />WHOSE LEGAL DESCRIPTION APPEARS BELOW: <br />ALL OF LOT 8, BLOCK 2, PLEASANT VIEW, A SUBDIVISION TO THE CITY OF GRAND <br />ISLAND, HALL COUNTY, NEBRASKA. <br />THE RELEASE OF LIEN ON SPECIFIC REAL PROPERTY DOES NOT EXTINGUISH ANY DEBT <br />DUE AND OWING TO THE STATE OF NEBRASKA, BY VIRTUE OF THE ASSIGNMENT OF <br />RIGHTS TO RECEIVE CHILD AND /OR SPOUSAL SUPPORT PAYMENTS TO THE STATE OF <br />NEBRASKA. <br />DATED THIS DAY OF , 2004. <br />DIRECTOR OF HEALTH AND HUMAN SERVICES <br />NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES <br />BY: <br />DARYL WUSK, ADMINISTRATOR <br />OFFICE OF ECONOMIC & FAMILY SUPPORT <br />DIRECTOR'S DESIGNEE <br />DEPARTMENT OF HEALTH AND HUMAN SERVICES <br />WITNESS MY HAND AND NOTARIAL SEAL ON THIS DAY OF (( , 2004. <br />NOTARY PUBLIC I <br />GENLRAL NOTARY-Slate of :Nebraska <br />KIMBERLY A. LOCD <br />c My Comm. Exp. Jan. 25 <br />CSE0294 <br />m <br />= <br />y <br />rn <br />=� <br />cn u; <br />m <br />►--+ <br />CO <br />---j <br />o <br />CZ <br />-_ <br />-< _ <br />O <br />u <br />.-+ <br />N <br />u� <br />�c <br />N <br />O <br />z <br />Q <br />200401220 <br />IN THE DISTRICT COURT OF HALL COUNTY, NEBRASKA <br />COURT CASE NO. C1969001748 <br />ANDREA JOHNSON, <br />PETITIONER, <br />RELEASE OF LIEN ON SPECIFIC PROPERTY <br />VS. <br />FRANCIS WILLIAM JOHNSON JR, <br />RESPONDENT <br />COMES NOW THE STATE OF NEBRASKA, DEPARTMENT OF HEALTH AND HUMAN <br />SERVICES, BY AND THROUGH THE DIRECTOR'S DESIGNEE, AND DOES HEREBY RELEASE <br />THE LIEN FILED AS A RESULT OF JUDGMENT FOR CHILD /SPOUSAL SUPPORT AND /OR <br />MEDICAL REIMBURSEMENT ASSIGNED TO NEBRASKA DEPARTMENT OF HEALTH AND <br />HUMAN SERVICES. SAID LIEN RELEASE APPLIES ONLY TO THE SPECIFIC REAL PROPERTY <br />WHOSE LEGAL DESCRIPTION APPEARS BELOW: <br />ALL OF LOT 8, BLOCK 2, PLEASANT VIEW, A SUBDIVISION TO THE CITY OF GRAND <br />ISLAND, HALL COUNTY, NEBRASKA. <br />THE RELEASE OF LIEN ON SPECIFIC REAL PROPERTY DOES NOT EXTINGUISH ANY DEBT <br />DUE AND OWING TO THE STATE OF NEBRASKA, BY VIRTUE OF THE ASSIGNMENT OF <br />RIGHTS TO RECEIVE CHILD AND /OR SPOUSAL SUPPORT PAYMENTS TO THE STATE OF <br />NEBRASKA. <br />DATED THIS DAY OF , 2004. <br />DIRECTOR OF HEALTH AND HUMAN SERVICES <br />NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES <br />BY: <br />DARYL WUSK, ADMINISTRATOR <br />OFFICE OF ECONOMIC & FAMILY SUPPORT <br />DIRECTOR'S DESIGNEE <br />DEPARTMENT OF HEALTH AND HUMAN SERVICES <br />WITNESS MY HAND AND NOTARIAL SEAL ON THIS DAY OF (( , 2004. <br />NOTARY PUBLIC I <br />GENLRAL NOTARY-Slate of :Nebraska <br />KIMBERLY A. LOCD <br />c My Comm. Exp. Jan. 25 <br />CSE0294 <br />