Backup Documents 04/25/2017 Item #16D2 c>0)ZORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP in ,
TO ACCOPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF MCOUNTY COMMISSIONERS OFFICE FOR SIGNATURE V
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 �lG I/4-6h 7
2. Jennifer Belpedio County Attorney Office
4te.+17
3. BCC Office Board of County -?'"(e
S y`
Commissioners Y l / ZS\`—\
4. Minutes and Records Clerk of Court's Office --Tin 42shri 14:05pfl
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 He ndezICHS Phone Number _ 252-2338
Agenda Date Item was
Approved by the BCC 04/25/17 Agenda Item Number JC,.,
Type of Document Number of Original
Attached Satisfaction of Mortgage Documents Attached 4 . G f( Q.
PO number or account Two$10 fee 123.155974.649030.32001.1 J J
number if document is One letter of Authorization to use Habitat
to be recorded for Humanit Account
Lone$ 0 fee 791-138791-649030-33429.1 1
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? 5-hc, 1 a )' EH
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 04/25/2017 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 -
BCC,all changes directed by the BCC have been made,and the document is ready for the
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 5397378 OR 5387 PG 3002
RECORDED 4/27/2017 1.33 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 6 2
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
I{NOW 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 Roberto Almendarez and Nilsa M Reyes Robles, single persons to COLLIER
COUNTY, dated 01/30/2009 and recorded on 03/30/2009 in Official Records Book 4439 Page 0316 of
the Public Records of Collier County,Florida, securing a principal sum of $3,000.00
and certain promises and obligations set forth in said Mortgage, upon the property described in the
aforementioned mortgage.
COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage, and
surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of
record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on -
fft,/ ,2017,Agenda Item Number /E. D..,._ .
ATTEST: BOARD 0 i Y COMMISSION t
DW .HT E. BR0 K,CLE OF COLLI,$ •dNTY,FLORIDA
.A _ .:.► �„i By: //JA..lirf
TAns LE
AestalfaeiWS Penny Tay or, Chap,n
P
siginjure.c4..--
Approval for form and legality:
Jennifer A.Belpe•%
Assistant County Attorney U ` •
4
O��
INSTR 5397379 OR 5387 PG 3003
RECORDED 4/27/2017 1:33 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Elizabeth Hernandez
Collier County $
2
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 Humberto Hernandez,a single man to COLLIER COUNTY,
dated 06/03/2011 and recorded on06/15/2011 in Official Records Book 4692 page 477 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 -
4p i f ;Sz ,2017,Agenda Item Number /4, 0,0. .
t ,gip
ATTEST: , BOARD of 0 ►TY COMMISSIONERS
D . -IT E. BROC . LERK OF COL .UNTY,FLORIDA
B • aBy:
Attal it $K Penny Taylor,Ch :ndr
Appr v l" rn; etl legality:
Jennifer A.Belpe.io , \1
Assistant County Attorney �
/75
e
INSTR 5397480 OR 5387 PG 3300
RECORDED 4/27/2017 2:56 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 I�
E.TEIMiElMi Trail 6 0 (2
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 Carla Jean-Louis,A Single Person to COLLIER COUNTY,
dated 05/23/2003 and recorded on06/05/2003 in Official Records Book 3308 Page 2517 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 -
4/4 r i -s , 2017,Agenda Item Number /‘., /2 off- .
ATTEST: BOARD S 0 Y COMMISSIONE
DW i T E.BRO ,CLERK OF COL e' •UNTY,FLORIDA
/a/i4V.—
rt ,est " �,. "KPenny Taylor,Cha
ApprdvalAr fa +4iad legality:
Jen er A.Belpedio ��'� \/1
Assistant County AttLy
s�(� ,
33\V
INSTR 5397487 OR 5387 PG 3307
RECORDED 4/27/2017 2:59 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Elizabeth Hernandez
Collier County 1 6 0 2
Community and Human Services 3339
B.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 Jorge L.Reyes and Iris M.Reyes,a married couple to COLLIER COUNTY,
dated 12/30/2008 and recorded on 01/07/2009 in Official Records Book4418 Page 2855 of the Public
Records of Collier County, Florida, securing a principal sum of $4,170.00 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 -
+,,r/ 025— ,2017,Agenda Item Number /E. 0,a ,
IA•,014PD
ATTEST: =' BOARD 0 ' 0 Y COMMISSIONE: :
D , T E.BROCK, K OF COL/ •LINTY,FLORIDA
.Tl
By:
► �. dr,w, ��^ �l;y'�i�R'I .�RK Penny Taylor, Chair
Ap i"igli liVand legality:
Jenn1i A.Belpedio op /\
Assistant County Attorney NN
S) ebN
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