Backup Documents 06/27/2017 Item #16D10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 b 010
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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 Iniiti�alls Date
1. Elizabeth Hernandez Community and Human /C�-
Services 6/d-3// 7
2. Jennifer Belpedio County Attorney Office
3. BCC Office Board of County Pr by
Commissioners it-f/ f llf �
4. Minutes and Records Clerk of Court's Office h v.4, 11 '� :Srcutt
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 Hernandez/CHS Phone Number 252-2338
Agenda Date Item was
Approved by the BCC 06/27/17 ` Agenda Item Number 16.D.10 ✓
Type of Document / Number of Original
Attached Satisfaction of Mortgage ./ Documents Attached 4
PO number or account Four$10 fee 123.155974.649030.32001.1
number if document is • Diego P. Perez Garcia
to be recorded • Amelie Jonassaint
• George Jesus Valdes
• Miguel E. Ricardo
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column,which-ver' Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? skAttl -44
v., tJ'
2. Does the document need to be sent to another agency for addi •onal signatures? If = , NA
provide the Contact Information(Name;Agency; Address;Phon- : •• 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 06/27/2017 and all changes made during EH
the meeting have been incorporated in the attached document. The County 9;,• •a
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 Ag"e •!b.
Chairman's signature. ”7:11.*
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
16010
INSTR 5423485 OR 5410 PG 708
RECORDED 6/28/2017 4:40 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 Diego P. Perez Garcia&Berta Oseguera de Perez, Husband and Wife to COLLIER
COUNTY,dated 02/02/2007 and recorded on 02/16/2007 in Official Records Book 4185 Page 0867 of the
Public Records of Collier County, Florida, securing a principal sum of $18,750.00 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 -
Ju 9.7 , 2017,Agenda Item Number M. 13, /0 .
ATTEST:, BOARD O' • ► COMMISSIONERS
D HT E. BROC CLERIC OF COL dNTY,FLORIDA
• By:
Attest as;to I Penny Taylor, an
signature'oa1y ,
Approval for form and legality:
Jennifer A.Belpedi (,�
Assistant County Attorney O.J"5 a-
I
16D10
INSTR 5423486 OR 5410 PG 709
RECORDED 6/28/2017 4:40 PM PAGES 1
DWIGHT E.BROCK,CLERK OF THE CIRCUIT COURT
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 Amelie Jonassaint to COLLIER COUNTY, dated 06/08/2001 and recorded on
07/23/2001 in Official Records Book 2863 Page 2097 of the Public Records of Collier County, Florida,
securing a principal sum of $3,300.00 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 -
7 , 2017,Agenda Item Number /6, p, /0 .
ci
ATTW: BOARD 0 4.41, COMMISSIONE'
DWJfa-1T E.BRO ,CLE .2K OF COLLI . NTY,FLORIDA
By:
At{est as to leli) ERK Penny Taylor, C/-i4141an
�4 qy
r5g711F lljrp i n!N
Y
Approval for form and legality:
Jennier A.Belpedi CY" a.
Assistant County Attorney
C
1 6 a 1 0
INSTR 5423487 OR 5410 PG 710
RECORDED 6/28/2017 4:40 PM PAGES 1
DWIGHT E.BROCK,CLERK OF THE CIRCUIT COURT
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 George Jesus Valdes and Christina Munne Valdes, a married couple to COLLIER
COUNTY, dated 03/06/2015 and recorded on 03/09/2015 in Official Records Book 5127 Page 605 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 -
jitia2 7 ,2017,Agenda Item Number M. D, /0 .
ATTEST: BOARD OF 40 COMMISSIONERS
D '_i T E. B+ROC CLERK OF COLLI i'' .I NTY,FLORIDA
//
t: %►L BY
i'
A <aS �IERK Penny Taylor, Can Or
.
Siaii7lttI tit*
Approval for form and legality:
Cw4t \\
Jenni r A. Belpedio \'a..
Dc
Assistant County Attorney S
16D10
INSTR 5423488 OR 5410 PG 711
RECORDED 6/28/2017 4:40 PM PAGES 1
DWIGHT E.BROCK,CLERK OF THE CIRCUIT COURT
Prepared by:Elizabeth Hernandez COLLIER COUNTY FLORIDA
Collier County REC$10.00 INDX$1.00
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 Miguel E. Ricardo and Loida Quinones Gerpe, Husband and Wife & Miguel A.
Ricardo Quinones, a single man to COLLIER COUNTY,dated 10/23/2009 and recorded on 11/02/2009 in
Official Records Book 4505 Page 2109 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 -
j,Um,, a 7 , 2017,Agenda Item Number id , D4/0.
6
ATTEST: BOARD OF 4IP COMMISSIONERS
DW _ T E.BRO,< K, ERK OF COL ' • TY,FLORIDA
By:
Q JERK Penny Taylor, C an
kte a
signature on yx
Approval for form and legality:
- so 37 4.\(:"
Jener A.Belpedi
Assistant County Attorney 5
CAO