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~ ~ 5. Ttiat the above-named Defendant'twving been ed~udiceted the father ~
the above-named child(ren), ttie Departmer? of Health and Rehabili~tive ~
~ervices Bureau of Vital Statiatice, t Untt, st~all and it i hereby ~
ordered to aroend the above-r~oed chi.ld'a/chi dren'e birth ce~tificate(~) tc
st~ow the above-r~aed fat2~r' s neme • ~
6. 'ItzaC pwcausnt to Section 443.0 1, Florida Ststutes (19~5) ar~ ~
Section 462(e) of th~e Title IV-A of t.he Security A+ct that tt~e Departme:+t
of Labor and ~nployme,nt Se~urity ehell deduc t~d vitt~wld fra~ tttie t~~loyment
Compensation otheniiee payable to the Def t 50~ of tt~e lk~ployoent ~
cvmpensation or the emo~a~t of child suppart~s urdered abo~v~e vhi~hever equals
the greater emcxu~t but doee not exceaci the c t ordei~ed suppert ataoyt3t.
7. Additianally, it is further or~Ced that tt~e Re~pandent/Peyor
shall promptly notify the Clexk of Court of all cheage~e in hie or he~c a~ail~ng
and residence, anci all chenges in tl~e name at~ ~dress of his or her ~loyer '
within seven (7) days of such ct~~ge. ! ,
8. Tt~at this Court reservee ~is~iction for the purpose of
detern?inining the emamt due from the l~eapondent to th~ Petitia~er, if any, as
reimburse~nent of paet AFDC peymer?ta receivecl~ by or on behalf of the 'before~na~aed ;
child(ren). . `
9 ~ lhat in the event ttre Def~tl0bligor becaoee ui~plo~qed, he/she
shall seek employment ard he/ahe shal.l coo ate vith the Departoent of Labor
and Ea?ployment Servicea of the State of F1 and mnk,e reports to the Depart-
menc of H~ealth and Rehab~l.itative Services o~ tt~e State of Flo~ida, Child
Support Frtforcm~nt Unit, of his/her efforts~to maintain esplayment~ on a
Weekly basis. 4 ,
10. (Applies only if box ia checked)
The Court firds that tt~e Obligpr hae ecceee at a reasonable rate ,
co group health insuranc~e. It ia thereupoa brdered end edjud,ged thet aaid ±
obligor shall, in additioci to all other te,nqs of thia fJrder, perovicle health
insurance for the child(r~n) set for~h hereip for eo la~g es the child(ren) are
dependent upan Florid~ 1.ea~r. 1t~e Obligor sha11 file p~oof of said health ~
insurance covera,ge in this file and send a r~py to all parties vithin 15 days
of the date of this order. '
DONE AND ORDFRI;D at Ft. Pierce, t. Luc e County, Florida, i
on this daq of , _19
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Copies furnished to:
All parties hereto. , i
l~/ Copy delivered to Obligor in open Court on date of
thia Order. • .
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