Backup Documents 04/28/2015 Item #16D11 jups'014,41,
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP Li/
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 At rney 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 with th '=-
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
Services
2. County Attorney Office County Attorney Office 4,2°1'
3. BCC Office Board of County
Commissioners \A1-1/ 4\ c)ki5
4. Minutes and Records Clerk of Court's Office (,\ +5 C
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 Specialist, Phone Number 239-252-2338
Contact/ Department Community and Human Services
Agenda Date Item was CApri128,2015 r Agenda Item Number 16 D.11
Approved by the BCC
Type of Document -- Number of Original
Attached Release of Lien 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-
the meeting have been incorporated in the attached document. The County No
Attorney's Office has reviewed the changes,if applicable. Cha •-
9. Initials of attorney verifying that the attached document is the version approved by the � (� ' s'
BCC,all changes directed by the BCC have been made, and the document is ready for the d-c"A
Chairman's signature. i,p`
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
16011
iNSTR 5115923 OR 5146 PG 2147
RECORDED 5/1/2015 9:25 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 of a certain Mortgage
executed by Viraul C. Lindsey to COLLIER COUNTY, recorded on 01/27/2011 in Official Records
Book 4646, Page 2282, of the Public Records of Collier County, Florida, securing a principal sum of
$6,954 and certain promises and obligations set forth in said Mortgage, upon the property described in the
aforementioned mortgage hereby acknowledges satisfaction of said Mortgage, surrenders the same as
cancelled, and 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 -
AQorA 'L% , 2015, Agenda Item Number ‘6,:b-l\
ATTEST: BOARD OF COUNTY COMMISSIONERS
DW HT E. BRO. , CLERK _ OF COLNTY,FLORIDA
- BTip'�ll.�tGe_
�-� ► By:
Ifl -CLERK TIM NANCE,CHAIRMAN
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Approval for°form and legality:
Jenr7tfer A. Belpedi
Assistant County Attorney c p3) Z\��
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