Backup Documents 03/25/2014 Item #16K1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO K 1
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 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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office JAB Jo,. 3/25/14
4. BCC Office Board of County b
Commissioners \/5/ 3\25Ak .
5. Minutes and Records Clerk of Court's Office
3 I(I I 0=55ttn
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 Jennifer Belped' ,Asst.County Attorney Phone Number 252-8400
Contact/ Department
Agenda Date Item was 3/25/14 Agenda Item Number 16-K-1
Approved by the BCC
Type of Document Notices to Tax Collector of Application for Number of Original 37
Attached Tax Deed Documents Attached
PO number or account n/a
number if document is
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? JAB
2. Does the document need to be sent to another agency for additional signatures? If yes, JAB
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 JAB
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 JAB
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 JAB
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 JAB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JAB
should be provided to the County Attorney Office at the ti the item is input into SIRE.
Some documents are time sensitive and require forwardin to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be awa of your deadlines!
8. The document was approved by the BCC on 3/25/14 and all changes made during the JAB
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 th JAB
BCC, all changes directed by the BCC have been made,and the document is ready f r the
Chairman's signature. - '
,A010
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Re 0/12
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
10-0225 May 28, 2010 3 47 29 N 98.5 FT OF W 165 FT OF
SW1/4 OF SE1/4 OF SW1/4 LESS N
48.5FT
Tax ID: 00117280001
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
ATTEST:'.
W6 T . BIRO K, Clerk Approved as to form and legality
Attest as to Chairman's Assistant County Attbrney
sinnature only.
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
11-0330 May 31, 2011 11 48 26 S1/2 OF NW1/4 OF SE1/4 OF
SW1/4 LESS W 30FT 4.77AC
Tax ID: 00180440001
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
AT TSTf;t;
DIM HT E:-BR K, Clerk Approved as to form and legality
1
Attest as to Chairman's As ant County orney
sign ture.only.
•
l6Ki
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-0598 May 29, 2009 24 49 27 W 132FT OF S1/2 OF NE1/4 OF
10-0583 May 28, 2010 SEI/4 OF NE1/4
11-0575 May 31, 2011
Tax ID: 00324400001
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
�-- MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
»�l "HT E< BA , Clerk r Approved as to form and legality
Assistant Cou Attorney
on iy.
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-0775 May 29, 2009 32 50 26 E 150FT OF W 2100FT OF S
150FT OF N 900FT .57 AC
Tax ID: 00443080001
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENN NG, CH• IRMAN ,' DATE
Nif" T E SHOO ', Clerk Approved as to form and legality
Attest as to Chairman's Assistant Coun U.rney
signature only.
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-0782 May 29, 2009 32 50 26 COMM N1/4 CNR, N 89 DEG
W 281.40FT ALG N LI NW 1/4, S
449.76FT TO POB, S 149.92FT, W
247.41 FT, N 150FT, E 245.18FT TO
POB .85 AC OR 499 PG 129
Tax ID: 00444920005
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
. . /? Approved as to form and legality
l.��lt1J1�1'l
•
ttesi as to Chairman's
+"n {� � r, Assis ant County Atto
.
l6Ki
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-0784 May 29, 2009 32 50 26 NW1/4, E 150FT OF W
900FT, S 300FT OF N 1800FT 1.03AC
OR 576 PG 602
Tax ID: 00445040007
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
` -- e MARCH 25, 2014
TOM HENNING, C AIRMAN DATE
i- i, e 7 f;ri C `';E;irt Approved as to form and legality
' illi, - ' e_CA.-vtit. _Cr---_______ Ck-'"""'"'` Assistant County Atto y
'. signatsite only,
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
7 50 30 N3/4 OF SEC 7, LESS R/W,
09-0847 May 29, 2009 LESS ALL OR OTHERWISE ASSESSED
AS OF 3/08/06. LESS UNREC'D TRS 5,
19-21, 34, 39 DESC IN OR 4073 PG 1724,
LESS UNREC'D TR 38 DESC IN OR
4091 PG 2306, LESS UNREC'D TR 37
DESC IN OR 4373 PG 1123, LESS
UNREC'D TR 17 DESC IN OR 4393 PG
3429
Tax ID: 00522080003
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, HAIRMAN DATE
Approved as to form and legality
Ass nt County t 7.0U-.D
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
10-1191 May 28, 2010 35 51 34 25% OG&M RIGHTS: W1/2 OF
11-1102 May 31, 2011 SW1/4 OF SW1/4, S1/2 OF NE1/4 OF
SW1/4 OF SW1/2, SE1/4 OF SW1/4 OF
SW1/4, S1/2 OF NW1/4 OF SE1/4 OF
SW1/4, SW1/4 OF SE1/4 OF SW1/4, 50
AC OR 1133 PG 2049-50
Tax ID: 01046560008
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
�.'
Approved as to form and legality
C .2.1),Aket, ssistant Coun Attorney
>r.ttesf as to Chairman's
Bony.
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
10-1192 May28, 2010 35513425% OG & MRIGHTS
DESC AS: E1/2 SE1/4 SW1/4 & W1/2
SW1/4 SE1/4 & SW1/4 NW1/4 SE1/4
50 AC OR 1640 PG 2036-2037
Tax ID: 01047000004
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, C AIRMAN DATE
Approved as to form and legality
Asj tant Cou ttomey
.-R Cl y.
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-1290 May 29, 2009 13 52 29 UNREC'D PAR 48 DESC AS:
COM E1/4 CNR SEC 13, N 68 DEG W
987.57FT, S 42DEG W 37FT N52DEG
W 134.40FT, N 97FT, N88DEG W
484FT, N 1 DEG E 25FT TO POB,
N88DEG W 128.20FT,N 1 DEG E
100FT, S88DEG E 128.20FT, S 1 DEG
W 100FT TO POB LESS ELY 60 FT
Tax ID: 01134805808
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
--- MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
-"'^^'.., "-"- Approved as to form and legality
32,uukot_
. _ _ Cia-A-Itt-k ' CA..A •
,,test as to Chairman's Assistant County%ivrney
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
11-1219 May 31, 2011 8 52 31 100% OIL, GAS, AND
MINERAL RIGHTS: SE1/4 OF SW1/4
OF SE1/4, 10 AC OR 423 PG 916
Tax ID: 01151280008
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
"'&-�" ` �"'" �'� "'"""' Approved as to form and legality
` .
Attest as to Chairman's
Ass ant County A to ey
signature only.
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
24 53 29 LOT 59 UNREC'D PLAT
10-1325 May 28, 2010 PLANTATION IS S OF HALFWAY
11-1249 May 31, 2011 CREEK DESC AS: FROM SE CNR OF
NE1/4 OF NW1/4,N86DEG W 100 FT,
TO POB,N86DEG W 200FT, N
380FT, SELY 228FT +-, S 360 +-FT
TO POB
Tax ID: 01207080000
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.—-- il
_
III MARCH 25, 2014
TOM HE ING, C'AIRMA DATE
,
. WA e ,. Approved as to form and legality
Attest a., u to Ce...__
signature only. _�.
Assistant Co un orney
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
11-2262 May 31, 2011 CARSONS ADD BLK 9 E 1/2 OF LOT 6
Tax ID: 25631120101
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HE G, C "AIRMAN DATE
.
" ` _ ^^"; ,�-
Approved as to form and legality
Attest as to Chairman's Assn ant CouphA 1_7j,` `�
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
10-3980 May 28, 2010 GOLDEN GATE EST UNIT 8 E1/2 OF
11-3425 May 31, 2011 N1/2 OF TR 76, LESS THE N 150FT
Tax ID: 36965350102
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
" Approved as to form and legality
+ -/�'-- — --- Assistant
County • rney
i!Sttf as to Chamlan's
f ,+, •,, only. -
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-5296 May 29, 2009 GOLDEN GATE EST UNIT 38 W
75FT OF E 150FT OF TR 52 OR 1900
PG 383
Tax ID: 38604960000
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
I)
o
__ 1► l' MARCH 25, 2014
TOM 1-IENNING, CHAIRMAN DATE
^F
Y Approved as to form and legality
•
Assilt County Atto 16
Attest as to Chairman's
signature only.
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-5662 May 29, 2009 GOLDEN GATE EST UNIT 47 E 75FT
OF W 150FT OF TR 63 OR 1159 PG
72
Tax ID: 39147160007
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
( V ,
MARCH 25, 2014
TOM HENNING, CHAIRMAN ' DATE
Approved as to form and legality
As ant County t rney
A est as to Chairman's
signature only.
16K1 '
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-5672 May 29, 2009 GOLDEN GATE EST UNIT 47 W
75FT OF TR 75 OR 1506 PG 949
Tax ID: 39148680007
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
•
` -- MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and legality
qh
Assistant Coun s• t ,rney
signature only.
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-5683 May 29, 2009 GOLDEN GATE EST UNIT 47 E 75FT
OF TR 101
Tax ID: 39151720006
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN 4c DATE
.r- Approved as to form and legality
111 CA.A
Assistant County Att me
est as to Chairman's
signature only.
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-6471 May 29, 2009 GOLDEN GATE EST UNIT 75 E75FT
OF W150FT OF TR 59 OR 827 PG
1346 & OR 1052 PG 1147-48
Tax ID: 40574480006
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
iP
Approved as to form and legality
-- --- Assistant County •• ey
Attest as to Chairman's
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-6954 May 29, 2009 GOLDEN GATE EST UNIT 89 W
75FT OF E 150FT OF TR 41 OR 539
PG 878
Tax ID: 41393480008
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, AIRMAN DATE
Approved as to corm and Icgaut)
AsslICCounty At>io
Attest as to Chairman's
signature only.
16K1 '
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-6969 May 29, 2009 GOLDEN GATE EST UNIT 89 W
75FT OF E 150FT OF TR 97 OR 368
PG 984
Tax ID: 41397560005
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and Irb,i„i,.
0-6—Kit ark. „t
At '0st as to Chairman's Assis County At -
sigt►attrr nr'v
161( 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-7111 May 29, 2009 GOLDEN GATE EST UNIT 93 N1/2
OF W 180FT OF TR 127
Tax ID: 41720280004
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM IIENNING, CHAIRMAN( DATE
00.4\mw, c(
Approved as to form and legality
Attest as to Chairman's Assistant Coun A 'rney
signature only.
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-7751 May 29, 2009 INOMAH BLK J LOT 2 N 25FT
Tax ID: 51693520001
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN , DATE
Approved as to form and legality
'33Aktei- &Kit
Attest as to Chairman's Assistant C uo n ty.; ey
stratur cnly.
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-8170 May 29, 2009 MAINLINE BEG AT SW COR OF
SAID TR A FOR POB,NELY ALG W
LY LI TR A 381FT, E 92FT PARAL
TO N LI TR A, SW LY ALG S LI TR
A 92FT TO POB PARAL TO W LY LI
TR A 381FT W ALG S LI TR A 92FT
TO POB
Tax ID: 56350080009
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and legality
rqq t{o,, ## }}
Assistant Counsorney
Signature ct,iy.
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-8948 May 29, 2009 NAPLES FARM SITES W 132FT OF S
165FT OF W1/2 OF TR 20
Tax ID: 61732800009
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of e same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
_ _ ca42LIL.psc, —
Approved as to form and legality
r, ;�•.' ,;°
4 Assist t County A to
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-1567 May 31, 2011 NAPLES FARM SITES INC S 82.5FT
10-0600 May 31, 2011 OF N 412.5FT OF E 264FT OF TR 21
LESS E 30 FT, OR 1880 PG 1779
Tax ID: 61733880552
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and kgatu)
4tti. Assi
�._ — I County ey
,test as to Chairman's
l6Kj
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
10-7875 May 28, 2010 NAPLES MANOR LAKES BLK 16
LOT 8
Tax ID: 62265600005
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and legality
- -' Assist County Att;
srgntor o only.
16K 1 I
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-9301 May 29, 2009 NAPLES VILLAS BLK A LOT 1 E
125 FT OF LOT 1 OR 1988 PG 1472
Tax ID: 63500040002
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
----' ----- MARCH 25, 2014
ILs`"•-■..-->,
TOM HENNING, CHAIRMAN , DATE
Approved as to form and legality
Assistant Cou ty A torney
Attest as to Chairman's
signature only.
l6Ki
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-9520 May 29, 2009 PALMETTO PARK BLK 1 LOT 9
Tax ID: 65070360003
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
r-----) 4N—‘4-•---}, MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and legality
,, ,,, ; eattite4 )
Assistant County A ey
Att?st as t0 (l ,r ;,'
signature only,
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-9544 May 29, 2009 PALMETTO PARK BLK 3 LOT 27
10-8380 May 28, 2009 OR 537 PG 536
11-6972 May 31, 2011
Tax ID: 65073840009
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN r DATE
Approved as to form and legality
Assistant Co ttomey
Attesf as to Chairman's
nnlV
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
10-8816 May 28, 2010 QUARRY PHASE 1 TRACT L30-C
Tax ID: 68986770687
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and legality
Assistant County A omey
Attest•as to Chairman's
signature only,
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
10-8820 May 28, 2010 QUARRY PHASE 1 A TRACT L-30,
LESS QUARRY PH 1 AS DESC IN PB
42 PG 58-67
Tax ID: 68986800748
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN 6 DATE
Approved as to form and legality
Assistant Cou ttorney
Attesfas to Chairman's
nature only.
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
11-7533 May 31, 2011 SABAL SHORES OF BLK F LOT 11A
Tax ID: 71800000909
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
--� MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and legality
t 46
Asses : t County A
Attu;`(: `ss
:w 5
sTiliature only.
161( i
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-1173 May 29, 2009 VILLAGE GREENS OF LELY
10-0202 May 28, 2010 TRACT "E"
Tax ID: 80390000400
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and legality
32"161-A-Ikk-_ „ Ca...1A...„1,A4DAk
Assistant County ey
16K1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-1174 May 29, 2009 VILLAGE GREENS OF LELY
10-0203 May 28, 2010 TRACT "F"
Tax ID: 80390000426
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
'CT-.----4"-N.:}„
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and legality,
- `.►
cvsqjuivt_
Assistant County t torney
Attest as to Chairman's
'signature only.
161( j
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-1175 May 29, 2009 VILLAGE GREENS OF LELY
10-0204 May 28, 2010 TRACT "G"
Tax ID: 80390000442
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
,. 1
TOM HENNING, CHAIRMAN MARCH 25, 2014 DATE
Approved as to form and kph t)
Ass t Coun ty A{t
161*11
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-1176 May 29, 2009 VILLAGE GREENS OF LELY
10-0205 May 28, 2010 TRACT "H"
Tax ID: 80390000468
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
MARCH 25, 2014
TOM HENNING, CHAIRMAN DATE
Approved as to form and Iegalit)
ea-KAA1/1
Assis ""County Atto
..ttest as to Chairman's
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 K 1
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 SLIP
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 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.
2.
3. County Attorney Office County Attorney Office JAB 8/27/14
4. BCC Office Board of County
Commissioners \MA/ * -Z-.A Vk
5. Minutes and Records Clerk of Court's Office
s(211/I14 -6
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 Jennifer Belpe 'o,Asst. County Attorney Phone Number 252-8400
Contact/ Department
Agenda Date Item was 3/25/14 V Agenda Item Number 16-K-1
Approved by the BCC
Type of Document Corrected Notice to Tax Collector of Number of Original 1
Attached Application for Tax Deed Documents Attached
PO number or account
number if document is n/a
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? JAB
2. Does the document need to be sent to another agency for additional signatures? If yes, JAB
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 JAB
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 JAB
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 JAB
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 JAB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JAB
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 3/25/14 and all changes made during the JAB �Y�=
meeting have been incorporated in the attached document. The County Attorney's *1
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the JAB
BCC,all changes directed by the BCC have been made,and the document is ready for th
Chairman's signature.
THE TAX COLLECTOR'S OFFICE REQUESTED THIS CORRECTED N I " DUE TO AN
ERROR IN THE LEGAL DESCRIPTION.
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
16K 1
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED
TO: Tax Collector of Collier County:
In accordance with Section 197.502, Florida Statutes, the Board of County
Commissioners, holder of the following tax sale certificate, hereby surrenders same to the
Tax Collector and makes tax deed application thereon:
CERT. NO. DATE LEGAL DESCRIPTION
09-8170 May 29, 2009 MAINLINE BEG AT SW COR OF
SAID TR A FOR POB, NELY ALG W
LY LI TR A 381FT, E 92FT PARAL
TO N LI TR A, SW LY PARAL TO W
LY LI TR A 381FT W ALG S LI TR A
92FT TO POB
Tax ID: 56350080009
I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of
the court costs, charges and fees and sheriffs costs, if applicable. Attached is the
above-mentioned tax sale certificate on which this application is based and all other
certificates of the same legal description which are in my possession.
• MARCH 25, 2014
TOM HENNING, C ° IRMAN DATE
ATTEST: J4 1.
DWIGHT � 1 /
. o
tt pp ,A rovedlas oform and legality
`► �1�1..�.J� . �►
ttest as o i i`
signature only.n� Jeffrey A. Kthtz ofiv, ounty Attorney
iO4-cun-00003/83O668'1