Backup Documents 03/25/2014 Item #16D5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP1 6
a
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. `(J,
**NEW** ROUTING SLIP I ' (1
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already co plete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County A •rney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Mandy Moody HHVS M 4\r-1 I*
2. Jennifer Belpedio County Attorney Office 1
4. BCC Office Board of County
Commissioners s/ \\<1■44\
5. Minutes and Records Clerk of Court's Office —1)(Y f fokt '5:NYC!)
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 Moo /HHVS Phone Number 252-2338
Contact/ Department
Agenda Date Item was 03/25/14 Agenda Item Number 16D.5 ✓
Approved by the BCC
Type of Document Satisfaction of Mortgage Number of Original 1
Attached Documents Attached
PO number or account 1 checks provided for recording ck#27299
number if document is From Habitat for Humanity
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
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
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 Mfot N
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 tZ.
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 NA kr-
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 03/25/14 and all changes made during MM (/
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 MM- -
BCC,all changes directed by the BCC have been made,and the document is ready for the --2S 2,.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
160. 5 ' f
INSTR 4967919 OR 5026 PG 1222
RECORDED 4/14/2014 10:21 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Prepared by:Wendy Klopf REC$10.00
Collier County
Housing,Human&Veteran 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(s) and holder(s) of a certain
Mortgage executed by Evangelina B.Gutierrez to COLLIER COUNTY, recorded on
April 5.2010 in Official Records Book 4552 , page 568 , of the Public Records of Collier
County, Florida, securing a principal sum of$3,000.00 and certain promises and obligations set
forth in said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage, and
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 -
YY1 cwt 1,, 2 , 2014,Agenda Item Number 1(o' 5 .
ATTEST: . BOARD OF COUNT COMMISSIONERS
DWIGHT E.BROCK,CLERK OF COLLIE I O ► Y,FLORIDA
B + - ill�.ti kr 1.411k ,4 BY: - 0.a hI
A e of • �'' C r if°:° TOM HE NG, -a, RMAN
'
s�natUTp fY•
prova for r`mand ity:
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Jennifer A.Belpedi.
Assistant County Atto -y