Backup Documents 07/11/2017 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16D 4
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 ee..DRiI` x/,3
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document i 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
2. Jennifer Belpedio County Attorney Office _, C� — 1„ '`-1
3. BCC Office Board of County
Commissioners (&/ --�\t l l
4. Minutes and Records Clerk of Court's Office
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 07/11/17 J Agenda Item Number 16.D.4 t/
Type of Document Number of Original
Attached Satisfaction of Mortgage Documents Attached 4
PO number or account Taylor: $10 fee 123.155974.649030.32001.1
number if document is Houck: $10 fee 123.155974.649030.32001.1
to be recorded Gutierrez: $10 fee 791-138791-649030-33407.1
Orta/Garcia: $10 fee 791-138791-649030-33407.1
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? ,3—\*,,v�? o✓.qy 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 07/11/2017 and all changes made during EH 1�l/A Isnot
the meeting have been incorporated in the attached document. The County attGtioi for
Attorney's Office has reviewed the changes,if applicable. /'n
9. Initials of attorney verifying that the attached document is the version approved by the - N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the • an option for
Chairman's signature. this line.
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
160 4
INSTR 5429904 OR 5415 PG 3579
RECORDED 7/14/2017 4:43 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 Rogelio Orta & Rosa Garcia, husband & wife to COLLIER COUNTY, dated
11/19/2003 and recorded on 12/24/2003 in Official Records Book 3471 Page 0718 of the Public Records of
Collier County, Florida, securing a principal sum of$6,550.40 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 -
/ , 2017, Agenda Item Number .
ATTEST: BOARD 0 • Y COMMISSIONE:
DWIGHT E.BROCK,CLERK' , OF COLL,," • TY,FLORIDA
By: `..a ,
p By: -�
Attest as to' tm c Penny Taylor, RMAN
signature only:
Approval for form and legality:
Jennifer A.Belpedio \
'
Assistant County Att y Vv
cc
16 D 4
INSTR 5429905 OR 5415 PG 3580
RECORDED 7/14/2017 4:43 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 Jose Gutierrez and Maria Gutierrez to COLLIER COUNTY, dated 12/15/1999 and
recorded on 12/16/1999 in Official Records Book 2622 Page 0051 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 -
lcl l I ,2017,Agenda Item Number i‘, D, `i .
ATTEST: BOARD 0 • Y COMMISSIONE'
DWIGHT E'BRO ,C 'BRIC, I OF COLLj'" 'i TY,FLORIDA
By. i ;��1By:
Attest to E�'UTYT �� Penny Taylor, RMAN /
airman s.
signature only.
Approval for form and legality:
Jennifer.Bel edio
p
Assistant County Attorney c> . �
1604
INSTR 5429888 OR 5415 PG 3504
RECORDED 7/14/2017 4:27 PM PAGES 1
DWIGHT E. BROOK, 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 Jennifer A. Taylor, a single woman to COLLIER COUNTY, dated 06/17/2011
and recorded on 06/30/2011 in Official Records Book 4696 Page 3220 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 -
old/
it ,2017, Agenda Item Number /Z• D. r .
ATTEST:' , BOARD O' 4� COMMISSIONERS
DWIGHT E.BROCK,CLERK OF COLLI P.• 4 TY,FLORIDA
By: E:,►t — `,�►s By: & ..r
DEP,UTY:C)._.• Penny Taylor,CCS AN
ehau
Attest as to Ilan s
signature only. `_
Approval for form and legality:
Jenni er A.Belpedio
Assistant County Attorney O_ �\
0
160 4
INSTR 5429889 OR 5415 PG 3505
RECORDED 7/14/2017 4:27 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 Martha M Houck to COLLIER COUNTY, dated 02/28/2000 and recorded on
03/09/2000 in Official Records Book 2649 page 1629 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 -
jI 1. /1 , 2017, Agenda Item Number /', D , y .
ATTEST: BOARD O '• Y COMMISSIONE:
DWIGHT E.BROCK,CLERK OF COLL j-" . TY,FLORIDA
By: = Ala By:
Attest as to ClifilieftE' V Penny Taylor, RMAN
signature only;
Approval for form and legality:
Jenm er A.Belpedio `1
Assistant County Attorney �\'
pc;)C