Backup Documents 11/15/2016 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLID 605
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO j
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. Elizabeth Hernandez Community and Human
Services filo
2. Jennifer Belpedio County Attorney Office
\\5\1(p
3. BCC Office Board of County
Commissioners \rk4/<5
4. Minutes and Records Clerk of Court's Office (k fit 3! 15fin
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 addi ional or missing information.
Name of Primary Staff Elizabeth He ndez/CHS Phone Number 252-2338
Contact/ Department
Agenda Date Item was 11/15/16 Agenda Item Number
Approved by the BCC /6E D• s-
*
Type of Document Satisfaction of Mortgage Number of Original
Attached Documents Attached 3
PO number or account Three$10 checks
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?
2. Does the document need to be sent to another agency for additionalsignature 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 H
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 EH
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 EH
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 of your deadlines! u.
8. The document was approved by the BCC on 11/15/2016 and all changes made during EH No
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes, if applicable. -011043
9. Initials of attorney verifying that the attached document is the version approved by the EH
BCC, all changes directed by the BCC have been made,and the document is ready for he
Chairman's signature.
L 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 5336243 OR 5335 PG 1255
RECORDED 11/18/2016 12:28 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT 6 0
COLLIER COUNTY FLORIDA
Prepared by:Elizabeth Hernandez REC$10.00
Collier County
Community and 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 Heliodoro Rojas Ortiz, a married man,joined by his spouse Evelind de la C. Rojas
to COLLIER COUNTY, dated 06/12/2009 and recorded on 06/24/2009 in Official Records Book 4464 Page
1731 of the Public Records of Collier County, Florida, securing a principal sum of $ 2480.00 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 -
/1/15-1/6 , 2016,Agenda Item Number 16,0,,S' .
ATTEST: BOA Nil OF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK, OF ; LIER COUN ,FLORIDA
• r
By: L'_! ', 4111.L.-E By.
's �1�"DF , *i.,.N TONNA FIALA,CHAIRMAN
Attest as to
Apprgivitf°Cfl1 7°d legtthty:
..
Jenni A.Belpedio
Assistant County Attorney \\.67
I ,v
o
0
1 605
INSTR 5336244 OR 5335 PG 1256
RECORDED 11/18/2016 12:28 PM PAGES 1
Prepared by:Elizabeth Hernandez DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Community and Human Services 3339 REC$10.00
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 Cecilia Gutierrez,a single woman, to COLLIER COUNTY,
dated 04/22/2004 and recorded on 06/03/2004 in Official Records Book 3578 Page 0627 of the Public
Records of Collier County, Florida, securing a principal sum of $ 15,000.00 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 -
/05//6 ,2016, Agenda Item Number /6, D. .
ATTEST: •c BOA' OF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK OF U 1 IER COUN ,FLORIDA
By: C1 /10C By:
Hi65. as4.1"'46,1V'':° 1°•.-,, me4111
ONNA FIALA,CHAIRMAN
ApprP{{Ii5'��
o� tknegalityQ.
Jenni"1 A.Belpe•io
Assistant County Atto ,C\
\C7
GAO I�
1605
INSTR 5336245 OR 5335 PG 1257
RECORDED 11/18/2016 12:28 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by:Elizabeth Hernandez COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community and Human Services 3339
E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Dorilis Rodriguez,a single person, to COLLIER COUNTY,
dated 12/13/2013 and recorded on 12/18/2013 in Official Records Book 4993 Page 2794 of the Public
Records of Collier County, Florida, securing a principal sum of$ 20,000.00 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 -
0//,06 , 2016, Agenda Item Number /6 ,p,s,
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK OF C LIER COUNTY,FLORIDA
By: 0-1-Alk kk.., �ti,':0.0
By:
DEP ''A CLERK DONNA FIALA,CHAIRMAN
APIAttate t, I UII y:
signature only.`
Jenniler A.Belpedio 1
Assistant County Attorney �`
I
0