Backup Documents 05/13/2014 Item #16D12 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 Att ney no Inter
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#I 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. Mandy Moody HHVS rl Mj �y
2. I � � IlJ
3. Jennifer Belpedio County Attorney Office 5,14
4. BCC Office Board of County
C 'b
Commissioners \ir/5/ st«\\-
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 Mandy Moody/HHVS Phone Number 252-2338
Contact/ Department --�
Agenda Date Item wa 5/13/2014/ Agenda Item Number 16D.12
Approved by the BC --�
Type of Document Satisfactions of Mortgages Number of Original
Attached Documents Attached
PO number or account 2 checks provided for recording,
number if document is return JP Morgan Chase Bank and Deborah
to be recorded A. Stewart ESQ.
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 V`' /A17
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 -lA /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
should be provided to the County Attorney Office at the time the item is input into SIRE. kJ
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 and all changes made during MM
the meeting have been incorporated in the attached ocument. The County
Attorney's Office has reviewed the changes,if applicable. > ,S /3 //
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 e (J"
Chairman's signature. r!'~
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,R 'sed 2.24.0 • evised 11/30/12
16012
INSTR 4983921 OR 5038 PG 2678
RECORDED 5/19/2014 8:23 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by: Mandy Moody COLLIER COUNTY FLORIDA
Collier County REC$10.00
Housing,Human&Veteran Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Jean Marie Zeller and Norman D. Zeller to COLLIER COUNTY, recorded on
05/15/2006 in Official Records Book 4037 Page 0103 of the Public Records of Collier County, Florida,
securing a principal sum of$ 33,750.00 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 -
I`-ta-Y 1 5 , 2014,Agenda Item Number / j 2— .
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK,CLERK OF COLLIER COUNTY, LORIDA
tat 1- •
A est as to CMY CLERK TOM HENNING,CH•=J'MAN
=signature only,
Approval for forth and legality:
—
Jennifer A.Belpedio
Assistant County Attorney 4-W.o\ 4—
.d�
16012
INSTR 4983923 OR 5038 PG 2680
RECORDED 5/19/2014 8:24 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by:Mandy Moody COLLIER COUNTY FLORIDA
Collier County REC$10.00
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 John E. Samuelson to COLLIER COUNTY, recorded on 12/02/09 in Official
Records Book 4514,Page 712, 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 -
KA. ( 3 , 2014,Agenda Item Number 14 12 .
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK OF COLLIER COUNTY, LORIDA
to• dl toy�a r 3T, CLERK TO HENNING,CH MAN
Ociratl e on
Approval for form and legality:
tvi
Jennis'r A. Belpedio
Assistant County Attorne
140