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Backup Documents 03/28/2017 Item #16D 8 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP / n :i‘C19)15)/te-'\ 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. **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 3/;3//7 Services 2. Jennifer Belpedio County Attorney Office jac I1� 3. BCC Office Board of County Commissioners (/6/ 3\21-VA 4. Minutes and Records Clerk of Court's Office PM 3128h 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 Contact/ Department Elizabeth ernandez/CHS Phone Number 252-2338 Agenda Date Item was Approved by the BCC 3/28/17 Agenda Item Number /1r�• a g Type of Document Number of Original Attached Satisfaction of Mortgage Documents Attached 4 PO number or account number if document is Four$10 fee 123.155974.649030.32001.1 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? < -LH 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 EH 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! 8. The document was approved by the BCC on 03/28/2017 and all changes made during EH 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 EH BCC,all changes directed by the BCC have been made,and the document is ready for the �1 Chairman's signature. V 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 5384853 OR 5377 PG 526 RECORDED 3/29/2017 4:41 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Elizabeth Hernandez Collier County Community and Human Services 3339 E.Tamiami Trail 1 6 n 8 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 Norlis Abella Crespo, a single man to COLLIER COUNTY, dated 10/28/2011 and recorded on 11/22/2011 in Official Records Book 4739 Page 204 of the Public Records of Collier County, Florida, securing a principal sum of $4,240.00 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 - NArel4 ,2017,Agenda Item Number l6. P. ATTEST: BOA' UNTY COMMISSI• ERS DWIGHT E.BRO ,CLERK OF C' _ COUNTY,FLORI If B,(1414 114 ir ,15EP TY CLF�RK Penny Taylor, man Attest as to-Chi firman s •innor6,;c)gin'', Approval for form and legality: �fl Je :Tt er A.Belpedio �'j Assistant County Attorney \ 1 6 0 8 INSTR 5384854 OR 5377 PG 527 RECORDED 3/29/2017 4:41 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 INDX$1.00 Prepared by:Elizabeth Hernandez 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 Lynnette Pacheco, A Single Person and Edmundo Pacheco with the joinder of his wife, Elsa Antonsanti to COLLIER COUNTY, dated 05/07/2004 and recorded on 05/11/2004 in Official Records Book 3561 Page 3706 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 - tvl A r c k 01 , 2017,Agenda Item Number /6• D• 8 • ATTEST: BOARD OF 'o TY COMMISSIONERS DW HT E. BROC 'ERK OF COL R C! NTY,FLORIDA I� �� By: /i'y4 DEP YPen y ay or, C a • 1 iaitn�s ,Ir Only. Approval for form and legality: Jenm er A.Belpedio 1'J Assistant County Attorney ,V+J� . \ r•, INSTR 5384855 OR 5377 PG 528 RECORDED 3/29/2017 4:41 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Elizabeth Hernandez Collier County 6 8 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 Raymond E. Courte and Rosario Courte, a married couple to COLLIER COUNTY, dated 05/23/2008 and recorded on 06/27/2008 in Official Records Book 4373 Page 3114 of the Public Records of Collier County, Florida, securing a principal sum of $30,000.00 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 - M A a ,2017,Agenda Item Number I . S . ATTEST: BOA' I •' CO NTY COMMISSIONERS DW . T E.BROCK ERK OF CO► E "OUNTY,FLORID• 1"V /�t�I✓ �.✓ By• ;A G,st atQL6 Penny Taylor, Com;; an / afi 51803 r'r> 1't Approval for form and legality: Je4FerA.Belped Assistant County Attorney INSTR 5384856 OR 5377 PG 529 RECORDED 3/29/2017 4:41 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Elizabeth Hernandez Collier County J� Community and Human Services 1 3339 E.Tamiami Trail 6 Ei 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 Ariel Rivero and Anuday Veitia, Husband and Wife to COLLIER COUNTY, dated 02/14/2003 and recorded on 02/25/2003 in Official Records Book 3226 Page 0428 of the Public Records of Collier County, Florida, securing a principal sum of $7,500.00 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 - 6 f A/'�'r� �� ,2017,Agenda Item Number / D. 8 ATTEST: BOA' DO,UNTY COMMISSIONERS DW , HT E.BROC , LERK OF C0 COUNTY,FLORI r //�l�L✓ _tea/ .ttest as Kaii Penny Taylor,e airman / ntr _ Approval for form and legality: Jennifer A.Belpe op \\ � Assistant County Attorney � .}