Backup Documents 09/23/2014 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO (2'1(250
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 Attorn Off ter
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. Jennifer A. Belpedio, ACA County Attorney Office C q 414))L1
2. BCC Office Board of County T b
Commissioners f �/ c`1 ktL\
3. Minutes and Records Clerk of Court's Office lab(I
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 was 0 '15/11. ci (�3 it 4' Agenda Item Number 16.D.6
Approved by the BCC
Type of Document Satisfaction of Mortgagee Number of Original 1
Attached Documents Attached
PO number or account Recording fees will be paid by the attached
number if document is checks from the title companies.
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) pplicable)
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 NA
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 NA
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 f your deadlines!
8. The document was approved by the BCC on q �, 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 .>. ��•
BCC,all changes directed by the BCC have been made, and the document is ready for the a � n
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
INSTR 5034422 OR 5080 PG 796
RECORDED 9/29/2014 2:34 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Prepared by:Mandy Moody REC$10.00
Collier County
Housing,Human&Veteran Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORL6
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 Sandy Gutierrez to COLLIER COUNTY,bearing the date of January 5,2007,
recorded January 9, 2007 , in Official Records Book 4166,Page 3942, of the Public Records of Collier
County, Florida, securing a principal sum of$27,285 and certain promises and obligations set forth in
said Mortgage,upon the property described in the aforementioned Mortgage.
COLLIER COUNTY hereby acknowledges payment and satisfaction of said Mortgage, in accordance
with Collier County Short Sale Policy, approved by the Board of County Commissioners on February 28,
2012, Agenda Item 16.D.7, and surrenders the same as cancelled, and hereby directs the Clerk of said
Circuit Court to cancel the same record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on -
..k iv1/41t .0�,3, 2014 Agenda Item Number 141> .
ATTEST: �" ''' ��r' BOARD OF COUNT / COMMISSIONERS
DWIGHT E. BRO CLERK OF COLLIE: ` 0 ►��%Y, FLORIDA
,.
. /
r •
Attest a$1:0 ERK TOM HENN , HAIRMAN
signature only.
Approval for form and legality:
e
Jennire A. Belpedi
Assistant County Atto ey (>7 ,d1�