Backup Documents 03/08/2016 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 �+
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. R„
**NEW** ROUTING SLIPYect (fe 3/ic
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is, lready 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. County Attorney Office County Attorney Office 'Y)‘163/911(P/9I1
2. BCC Office Board of County k
Commissioners
3. Minutes and Records Clerk of Court's Office
tp c2:3(irt,
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,Grant Support Specialist, Phone Number 239-252-2338
Contact/ Department Community and Human Ser ices
Agenda Date Item was March 8,2016 Agenda Item Number 16.D.6
Approved by the BCC
Type of Document Number of Original •
/
Attached Satisfaction of Mortgage Documents Attached
PO number or account Two Recording Fee paid from check
number if document is provided by Title Company. Amanda Mays Account# See Memo
to be recorded comes out of the Habitat Account.
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-
Stamp
ok
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 M
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 N/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 N/A
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 03/08/2016 and all changes made during MM-
the meeting have been incorporated in the attached document. The County No
Attorney's Office has reviewed the changes, if applicable. Change„..au
9. Initials of attorney verifying that the attached document is the version approved by the "CABCC,all changes directed by the BCC have been made,and the document is ready for the #, �•-
Chairman's signature. 1 . .
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 5238229 OR 5250 PG 203
RECORDED 3/10/2016 3:27 PM PAGES 1
Prepared by:Mandy Moody DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT 01 6
COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community and Human Services Divivsion
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 Amanda Mays to COLLIER COUNTY, recorded on 10/07/2002 in Official
Records Book 3124, Page 3385, of the Public Records of Collier County, Florida, securing a principal
sum of $5,000.00 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 -
MarCk , 2016, Agenda Item Number i L btu .
534:,?:,
...
ATTEST: '� BOARD F COUNTY COMMISSIONERS
DWIGHT E. BROCK,_CLERK, OF CO LER COUNT . FL,ORIDA
1 Ai �>• By: 4,11414)
As as U kdriggpiffy.Te Chaff an Donna Fiala,District 1 Commissioner
signature only.
Approval for form,and I :. ity:
Jenm rr Belpedio \(.,j
Assistant County Attorn y �
Od
INSTR 5238234 OR 5250 PG 222
RECORDED 3/10/2016 3'.30 PM 1
DWIGHT E. BROCK, CLERK
Prepared by:Mandy Moody OF THEPAGES CIRCUIT COURT D
COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community and Human Services Divivsion
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 Christopher Citak to COLLIER COUNTY, recorded on 11/30/2004 in Official
Records Book 3686, Page 3737, of the Public Records of Collier County, Florida, securing a principal
sum of $10,000.00 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 -
fr\o,rch $44-' , 2016, Agenda Item Number 1 bit),ix? .
ATTEST: BOARD COUNTY COMMISSIONERS
DWIGHT E. BROCK,CLERK OF CO I T,R COUNTY„ LORIDA
By; - By: fri149
Attest as to Clan CL ' • Chai an Donna Fiala,District 1 Commissioner
A�NTIl rm and le_, ty:
Jenna Ajr)\-31C--
r A.Belpedi
Assistant County Attorney ``rP
Q-
1606
INSTR 5238236 OR 5250 PG 224
RECORDED 3/10/2016 3:30 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by:Mandy Moody COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community and Human Services Divivsion
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 Pauline Rourke-Melvin to COLLIER COUNTY, recorded on 11/15/1996 in
Official Records Book 2550, Page 2097, of the Public Records of Collier County, Florida, securing a
principal sum of $2,500.00 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 -
1`(11cC.V\ $' , 2016, Agenda Item Number ILpt(Q
ATTEST: BOA' I IF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK OF C• ER COUNT FLORIDA
EBJ
By: � : By:
Attest as to Chairman's( (LE Chairman Donna Fiala,District 1 Commissioner
Sipparoval I'or Form and leg. • .
Jennifer A.Belpedio OP LP
Assistant County Attorney 9 „
0
1606
INSTR 5238235 OR 5250 PG 223
RECORDED 3/10/2016 3:30 PM PAGES 1
DVVIGHT E. BROCK CLERK OF THE CIRCUIT COURT
Prepared by:Mandy Moody COLLIER COUNTY FLORIDAREC$10.00
Collier County
Community and Human Services Divivsion
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 Natalie George to COLLIER COUNTY, recorded on 07/16/07 in Official
Records Book 4258, Page 0646, of the Public Records of Collier County, Florida, securing a principal
sum of $25,200.00 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 -
inarCh , 2016, Agenda Item Number j(Sb,19 .
ATTEST: BOARD go COUNTY CO MISSIONERS
DWIGHT E.BROCK,CLERK OF COL E�.COUNTY, ORIDA
;® kine
By: . /�.} Ave, - By:
Attest as to Chai T, -fT '^ Y CL ' Chairman Donna Fiala,District 1 Commissioner
sigPORA form and legality:
Jenn er A. Belpedi
Assistant County Attorney (p
O