BCC Absentia 08-27-2013 Item #16D2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW**ROUTING SL
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routinpzlines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s)(List in routing order) Office Initials Date
1. Wendy Klopf HHVS 08/28/13
2.
3. County Attorney Office County Attorney Office 1 V3
4 County Manager County Managers Office
5. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Wendy Klopf,HHVS Phone Number 252-2901
Contact/ Department /
Agenda Date Item was 08/27/2013 ✓ Agenda Item Number 16.D.2 ✓/
Approved by the BCC
Type of Document Release of Liens Number of Original Nine(9)
Attached Documents Attached
PO number or account 121-138755-884200-34540.7 all items to be
number if document is recorded under this line item
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? WK
2. Does the document need to be sent to another agency for additional signatures? If yes, WK ✓
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be WK
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's WK
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the WK—
document
or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's WK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip WK
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware ofiour deadlines!
8. The document was approved by the BCC on 08/27/2013 and all changes made during WK ✓
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the WK �.
BCC,all changes directed by the BCC have been made,and the document is ready for the U.
Chairman's signature. "a-
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
Prepared by: Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien executed by Daysi I
Companione to Collier County, executed on September 25, 2008 and Recorded in Official Records
Book 4397, Page 1828, of the Public Records of Collier County, Florida, which is hereby acknowledged
does remise, release, quitclaim, exonerate and discharge from the lien and operation of the said
agreement, that certain portion of the premises conveyed by said lien, more particularly described in the
aforementioned Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
:� r� BOARD OF COUNTY COMMISSIONERS,
'tnee(si - �; COLLIER COUNTY, FLORIDA.
(print na = Approved in absentia per Resolution 2000-149
a,� azona.„-fr-
itneisignature) on August 27, 2013 By: ‘ 2f..‘ 5�
J 0 7L &`-/-ez <7 Leo E. Ochs,Jr.,Coun nag
(print name)
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me thisl.`day of Q. mask. ,
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personalty known to
me.
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Print Cothmissioned Name of Notary Public
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
Prepared by:Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3299 E.
Tamiami Trail,Naples,Florida 34112,the owner(s)and holder(s)of a certain Lien executed by Novella
Williams to Collier County, executed on March 7 2008 and Recorded in Official Records Book 4396,
Page 2081,of the Public Records of Collier County, Florida, which is hereby acknowledged does remise,
release, quitclaim,exonerate and discharge from the lien and operation of the said agreement,that certain
portion of the premises conveyed by said lien, more particularly described in the aforementioned Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
,'LAr,41 -1 4. IOU BOARD OF COUNTY COMMISSIONERS,
itnes r- COLLIER COUNTY, FLORIDA.
(pr' n: 11 -) Approved in absentia per Resolution 2000-149
on August 27, 2013
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ess(signature) /7 By: _ A m/Aft
e Leo . Ochs,Jr.,Coun Ma age
(print name)
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me this2_'+L day of P v$*
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personall known to
me.
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■ _ Print Commissioned Name of Notary Public
Approved as to form and legality:
Jenni er A. Belpedio
Assistant County Attorney
Prepared by:Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County,whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien executed by
Geraldine Prather to Collier County, executed on September 30, 2008 and Recorded in Official
Records Book 4396, Page 2071, of the Public Records of Collier County, Florida, which is hereby
acknowledged does remise,release, quitclaim, exonerate and discharge from the lien and operation of the
said agreement,that certain portion of the premises conveyed by said lien, more particularly described in
the aforementioned Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
BOARD OF COUNTY COMMISSIONERS,
itness(sft, COLLIER COUNTY, FLORIDA.
(print . • e) Approved in absentia per Resolution 2000-149
on August 27, 2013 , .�
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ess(si nature) By: 4 _
el!� p ?1"-- L V/4 4-7 Leo . Ochs,Jr.,Cou . •ager
(print name)
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me this Z. 41-day of -,Sk
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personalty known to
me.
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Print Commissioned Name of Notary Public
Approved as to form and legality:
Jenne r A. Belpedio
Assistant County Attorney
Prepared by: Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County,whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien executed by Lori
Sidbury to Collier County, executed on May 30, 2008 and Recorded in Official Records Book 4396,
Page 2075,of the Public Records of Collier County, Florida, which is hereby acknowledged does remise,
release, quitclaim,exonerate and discharge from the lien and operation of the said agreement,that certain
portion of the premises conveyed by said lien, more particularly described in the aforementioned Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
%N.4140_63ie,-' BOARD OF COUNTY COMMISSIONERS,
itness r e) COLLIER COUNTY,FLORIDA.
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(print■na) e) Approved in absentia per Resolution 2000-149
on August 7, 2013
(,i,n `z`7� �-
ness(signature) n By: • + g ,� i
�/ c, <v r° I` ( 'U�/'4 17 Leo . Ochs,Jr., Coll' nager
(print name)
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me thisZ_4Lday of m ost ,
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personally known to
me. ` 0
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IP"■mr,"-■ — — — 11”11■•■ • Print Comlr►issioned Name of Notary Public
Approved as to form and legality:
CA.` D
Jenn er A. Belpedi
Assistant County Attorney
Prepared by:Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County,whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien executed by
Abraham and Laquita Prudent to Collier County, executed on June 6,2008,and Recorded in Official
Records Book 4396, Page 2073, of the Public Records of Collier County, Florida, which is hereby
acknowledged does remise,release, quitclaim,exonerate and discharge from the lien and operation of the
said agreement,that certain portion of the premises conveyed by said lien, more particularly described in
the aforementioned Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
i‘k ir!it "AI BOARD OF COUNTY COMMISSIONERS,
itnes(si• •a ,e) COLLIER COUNTY, FLORIDA.
(print • • e) Approved in absentia per Resolution 2000-149
on August 27, 2013
a tor
• ness(signature) By: „.� g ' /�
4e� K?'7 Leo . Ochs,Jr., ounnffrager
(print name)
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me this 2-5{-i".day of 0\oekvSk ,
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personally known to
me.
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Print Commissioned Name of Notary Public
Approved as to form and legality:
s r\ ,_ P
Jennifer A. Belpedio
Assistant County Attorney
Prepared by:Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County,whose post office address is 3299 E.
Tamiami Trail,Naples,Florida 34112,the owner(s)and holder(s)of a certain Lien executed by Justino
and San Juana Martinez to Collier County, executed on September 19,2008 and Recorded in Official
Records Book 4396, Page 2079, of the Public Records of Collier County, Florida, which is hereby
acknowledged does remise,release, quitclaim, exonerate and discharge from the lien and operation of the
said agreement,that certain portion of the premises conveyed by said lien, more particularly described in
the aforementioned Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
0
Ilk +,"amaiaiL L BOARD OF COUNTY COMMISSIONERS,
' ,fiNtn�e!s�s'�M :tl'•�-� � COLLIER COUNTY, FLORIDA.
rrt` ntnalrte)) I(�( Approved in absentia per Resolution 2000-149
on August 27, 2013
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itne 4�(c�,,gnature) By: ,.. I -• 0 �■
\/ G7 Q.7L ((-1/--v4/-/ Leo . Ochs,Jr.,Cou t anager
(print name)
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me this , day of 9\, • S ,
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personally known to
me.
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Hoary St*of Flab Sign ure of Notary Public State o Florida
My Comm.fxokes Jun 23,2017
t Commission•FF 11030
'�' ` Bonded through National Notary Man. V \`�O�\ri\4 • \v
Print Comtnissioned Name of Notary Public
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
Prepared by:Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien executed by Jose
and Yolanda Hernandez to Collier County, executed on June 6, 2008 and Recorded in Official
Records Book 4397, Page 1826, of the Public Records of Collier County, Florida, which is hereby
acknowledged does remise,release, quitclaim,exonerate and discharge from the lien and operation of the
said agreement,that certain portion of the premises conveyed by said lien, more particularly described in
the aforementioned Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
ti&Imeftiletew' BOARD OF COUNTY COMMISSIONERS,
• 1,` rte _ `,t COLLIER COUNTY, FLORIDA.
(print n. , e Approved in absentia per Resolution 2000-149
�GcJZtZ2�., on August 27, 2013�
—
tness s'gnature) By:Ve h,e,� C 2 vv'4 6chs,Jr.,Co Manager
(print name)
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me this +&day of Qvs .
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personally known to
me.
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Print Commissioned Name of Notary Public
Approved as to form and legality:
CO
Jennirer A. Belpedio
Assistant County Attorney
Prepared by: Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County,whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien executed by
Patricia Couture to Collier County, executed on May 27,2008 and Recorded in Official Records Book
4396, Page 2077, of the Public Records of Collier County, Florida, which is hereby acknowledged does
remise,release, quitclaim,exonerate and discharge from the lien and operation of the said agreement,that
certain portion of the premises conveyed by said lien, more particularly described in the aforementioned
Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
f
`, ' ,` BOARD OF COUNTY COMMISSIONERS,
itne :' ur- i A COLLIER COUNTY, FLORIDA.
&C 0 Pa 1�
(print n. ,) Approved in absentia per Resolution 2000-149
on Aug .t 27, 2013
•
W. ess signature) By: -, ��i
pie 1 (U✓'r Al Leo E. Ochs,Jr.,Co ty . ager
(print name) i
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me this - 41-day of Cktiel L.r$t ,
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personall known to
me.
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Print Co m issioned Name of Notary Public
Approved as to form and legality:
Jenni er A. Belpediio
Assistant County Attorney
Prepared by:Wendy Klopf
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County,whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Lien executed by Ben
Davison and Amanda Davison to Collier County, executed on July 1,2008 and Recorded in Official
Records Book 4516, Page 334, of the Public Records of Collier County, Florida, which is hereby
acknowledged does remise, release, quitclaim, exonerate and discharge from the lien and operation of the
said agreement,that certain portion of the premises conveyed by said lien, more particularly described in
the aforementioned Lien.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named
property,and consents to this Lien being forever discharged of record with respect to said property.
WBOARD OF COUNTY COMMISSIONERS,
itness(si - COLLIER COUNTY, FLORIDA.
k!M --S d
print n. . ) Approved in absentia per Resolution 2000-149
�
/ on August 27, 2013
(,�rt.�� C_L L-7-177 Ce.--v-L- . /
itness(signature) By: ' _ .---
.1 she ,f" w ✓' -q h Leo . Ochs,Jr.,Coun P• . a:er
(print name)
STATE OF FLORIDA)
COUNTY OF COLLIER)
The foregoing instrument was acknowledged before me this 2.C94L,.day of SI\ vSk ,
2013, by Leo E. Ochs, Jr., as County Manager, on behalf of Collier County, who is personally known to
me.
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Notary Se of Notary Public— tate of Florida
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Print Commissioned Name of Notary Public
Approved as to form and legality:
CA" IQp.c,c��
Jennifer A. Belpedio
Assistant County Attorney