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Backup Documents 05/23/2017 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i 6 LJ 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 i2S 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 Count Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Elizabeth Hernandez Community and Human Services �. 5/l J 1? 2. Jennifer Belpedio County Attorney Office 5-1 23 r) 3. BCC Office Board of County b Commissioners N('Vi// / S \r-k 4. Minutes and Records Clerk of Court's Office P,1 5z3f( l 3:461 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 Elizabeth Hernan z/CHS Phone Number 252-2338 Contact/ Department Agenda Date Item was 05/23/2017 Agenda Item Number Approved by the BCC /6 e • j/i Type of Document Satisfaction of Mortgage Number of Original Attached Documents Attached 4 PO number or account Two Letters of Authorization to use Habitat number if document is f• •• ' -coaling account. Zet,beilIn 4f-Al a to be recorded . . !• 10 c eck `L-N' Ch�Ls r�r b�a.,w►a.i 1 ' &t� ass a recbrdt►�o $fir;r9 a`_ 1`. _ *—: - - • • •min: 791-138791-649030- foe 33467.1 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? 4.14. ..n'SXTD 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 05/23/2017 and all changes made during EH •) the meeting have been incorporated in the attached document. The County e•„ t Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the E BCC,all changes directed by the BCC have been made,and the document is ready for the •® ®' - Chairman's signature. IP •�1 I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.0 ;Revised 11/30/12 1602 INSTR 5410325 OR 5398 PG 2969 RECORDED 5/26/2017 10:26 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Prepared b :Elizabeth Hernandez COLLIER COUNTY FLORIDA Y 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 Lori S. Sidbury, a single woman to COLLIER COUNTY, dated 05/28/2008 and recorded on 05/30/2008 in Official Records Book 4365 Page 2484 of the Public Records of Collier County, Florida. A Mortgage Modification Agreement dated 11/20/2008 and recorded on 12/04/2008 in Official Records Book 4411 Page 1738 of the Public Records of Collier County, Florida securing a principal sum of $29,806.10 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 - t off.3 , 2017, Agenda Item Number 44. P. ,;L . ATTEST: - BOA• 0 0 TY COMMISSI! ERS IGHT E.BROCK,CLERK OF C S� COUNTY,FLORI I A // By. ,'1 tam By. Attest as to Chalrmo EPUTY C l ',I Penny Tay g hairman signattlAV ro 1 for form and legaii`': • Jenm er A.Belpedi• Assistant County Attorney �' CAA INSTR 5410333 OR 5398 PG 2984 RECORDED 5/26/2017 1029 AM 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 j�j L V D 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 Vance Howard and Xantippi Rebecca Stone, a married couple to COLLIER COUNTY, dated 03/08/2012 and recorded on 03/14/2013 in Official Records Book 4896 Page 461 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 - i ety3 , 2017, Agenda Item Number /6 . D. 2 . ATTEST: � • BOAR O A P TY COMMISSIO ERS D IGHT E. BRO CK,CLERK OF Cy • COUNTY,FLORID A it By: ham_ By. Attest as to Chairman'$DEPUTY L ',Kw Penny Tay hairman signatureYoval for formand lega Jennifer A.Belpedio y� Assistant County Attorn fi• 7 INSTR 5410340 OR 5398 PG 2991 RECORDED 5/26/2017 10:34 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Elizabeth Hernandez Collier County i 6 D 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 Araceli Garcia,a Single Person to COLLIER COUNTY, dated 04/27/2000 and recorded on05/01/2000 in Official Records Book 2669 Page 2645 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 - '21et� ,2017, Agenda Item Number /t;, p, ,t . t ATTE$1": a BO '.OT�T"' OUNTY COMMI : I NERS DWIGHT E BROCK,CLE7 K OF LIER COUNTY LO',,' By: ®��, :y: Attest as to Itt111t1 SDEPUTY $Lj' mi. Penny Taylo airman signature g 'oval for form Land lega 'ty Jennifer A. Belpedio Assistant County Attorney 4)--, \\� INSTR 5410341 OR 5398 PG 2992 RECORDED 5/26/2017 10:34 AM 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 1 6 D 2 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 Mariela Pena,a single woman to COLLIER COUNTY, dated 10/13/2008 and recorded on10/21/2008 in Official Records Book 4402 Page 1496 of the Public Records of Collier County, Florida, securing a principal sum of $20,250.00 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 - Ill9-3 ,2017,Agenda Item Number /6 . . ATTEST: BOA• 0 0 CO TY COMMISSIO 'S DWIGHT E.BROCK.,-CLERK OF CO i ' OUNTY,FLORID By: L - ®aairak By: Attest as to airni ): PTJTYCL • ' V, Penny Taylor,C 1 an / signature only al for form and legali Jennifer A.Belpedio 052--) Assistant County Attorney (; ).\�