Backup Documents 04/28/2015 Item #16D10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO vu
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 SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete
exception of the Chairman's signature,draw a line through routing lines#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. Peggy Hager Community and Human �tiI
Services �(
2. County Attorney Office County Attorney Office 4`.ao\\\�
3. BCC Office Board of County
Commissioners S / \ \S
4. Minutes and Records Clerk of Court's Office ,Py t t lt� 10;15--
ot,r►'►
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 Mandy Moody,Grant Support Speci ist, Phone Number
239-252-2338
Contact/ Department Community and._Human S.qrvic
Agenda Date Item was Agenda Item Number
Approved by the BCC ( Apri128,2015¢ / 16.D.10
Type of Document ` Number of Original
Attached Satisfaction of Mortgage 1
Documents Attached
PO number or account Recording Fee paid from check from First
number if document is Account#
Florida Integrity Bank.
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? MM-
Stamp
ok
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 MM
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 N/A
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 MM
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 MM
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 of your deadlines!
8. The document was approved by the BCC on 04/28/15 and all changes made during MM- 101124,
the meeting have been incorporated in the attached document. The County No
Attorney's Office has reviewed the changes,if applicable. Ch.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made, and the document is ready for the Q ; .gig a
Chairman's signature.
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
16010
INSTR 5115850 OR 5146 PG 1999
RECORDED 5/1/2015 8:52 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Prepared by:Mandy Moody REC$10.00
Collier County _
Community&Human Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner and holder a certain Mortgage
executed by Virgul C. Lindsey, recorded on 01/27/2011 in Official Records Book 4646, Page 2278, of
the Public Records of Collier County, Florida, securing a principal sum of$5,280 and certain promises
and obligations set forth in said Mortgage,upon the property described in the aforementioned mortgage
hereby acknowledges full payment and satisfaction of said Mortgage, surrenders the same as cancelled,
and hereby directs the Clerk of said Circuit Court to cancel the same of record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on -
jrA 2$ ,2015,Agenda Item Number 621>a-kO .
ATTEST: v '` '' BOARD OF COUNTY COMMISSIONERS
DWI HT E.BRO ,CLERK OF COLLI 'Y,F RIDA
B : . By:
D TIM NANCE,CHAIRMAN
Approvanl for form ani egality:.
GA5
Jen i er A.Belpedi ‘NO,
Assistant County Atto ey �O.r ‘ .