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Backup Documents 09/23/2014 Item #16D14 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP ,igre-if.° 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 Attor y 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 wi6f114 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 9 I a N'1l' 2. BCC Office Board of County I` Commissioners � / otk11-k 3. Minutes and Records Clerk of Court's Office a J ( y 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 0914 Agenda Item Number 16.D.14 Approved by the BCC Type of Document Satisfaction of Mortgages Number of Original 2 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) /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 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 1/ 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 V 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 awar of your deadlines! / 8. The document was approved by the BCC on Z and all changes made during MM the meeting have been incorporated in the attar ed document The County o•tior Attorney's Office has reviewed the changes,if applicable. ii is lire. 9. Initials of attorney verifying that the attached document is the version approved by the M ! /A is,'not BCC,all changes directed by the BCC have been made,and the document is ready for the / oche,. Chairman's signature. ;,. , ,,_i, ' 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 16014 INSTR 5034421 OR 5080 PG 795 RECORDED 9/29/2014 2:31 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 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 Reyna Lopez to COLLIER COUNTY, recorded on 03/17/1998 in Official Records Book 2399, Page 0518, of the Public Records of Collier County, Florida, securing a principal sum of $5,000 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 - 1� ,2014,Agenda Item Number I(Qb • ay ATTEST -'. BOARD . COUN1 COMMISSIONERS DWI -T 0310,C K, RK ( OF COL R CO TY, FLORIDA ! 14 •;;r- Itip I:y: DL- 40411.,sy "F" CLERK TOM HENNING,CHI 'MAN 'signature only. Apprioval for form and legality: • Jennifer A.Belpedio , Assistant County Atto 0.5b \� 16014 4 INSTR 5034420 OR 5080 PG 794 RECORDED 9/29/2014 2:28 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Mandy Moody Collier County Housing&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(s) and holder(s) of a certain Mortgage executed by Lazaro Lugo to COLLIER COUNTY, recorded on 09/23/2008 in Official Records Book 4395, Page 2744, of the Public Records of Collier County, Florida, securing a principal sum of $22,485 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 - .Z3,2014, Agenda Item Number I C 11144"'r E (p ATTEST:. BOARD OF m UNTY/I*MMISSIONERS D : _ T E.BROC ERK OF COLLIE:TCOUN /1/11- FLORIDA By A ArimA4.00 By. .`' a tr m it &K TIM HENN G,CHAT• AN signature onlry. Approval for form d legali aid Jennifer A.Belped• Assistant County Att y Q ,��