Backup Documents 02/12/2013 Item #10C ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT faitc;
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIG�A
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.
2.
3. County Attorney Office County Attorney Office JAK
Z-Vi--\\\-2
4. BCC Office Board of County
Commissioners
5. 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 Jeffrey A. Klatzkow,County Attorney Phone Number 252-8400
Contact/ Department _
Agenda Date Item was 2/12/13 Agenda Item Number 10-C
Approved by the BCC
Type of Document Resolution—Appointment to Animal Number of Original One
Attached Services Advisory Board Documents Attached
PO number or account n/a
number if document is
to be recorded at)(?J.—51
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? JAK
2. Does the document need to be sent to another agency for additional signatures? If yes, JAK
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 JAK
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 JAK
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 JAK
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 JAK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JAK
should be provided to the County Attorney Office at the tim the item is input into SIRE.
Some documents are time sensitive and require forwardin o Tallahassee within a certain
time frame or the BCC's actions are nullified. Be awa e f your deadlines!
8. The document was approved by the BCC on 2/12/13 and all changes made during the JAK
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 - JAK
BCC, all changes directed by the BCC have been made,and the document is read, for the
Chairman's signature.
1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Re . -• • I • ised 11/30/12
10C
RESOLUTION NO. 2013-37
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING MICHAEL SIMONIK TO
THE ANIMAL SERVICES ADVISORY BOARD.
WHEREAS, Collier County Ordinance No. 2004-06 established the Animal Services
Advisory Board to generate community involvement in order to aid the Collier County Domestic
Animal Services Department; and
WHEREAS, Ordinance No. 2004-06 provides that this Advisory Board shall consist of
seven members who represent the areas of expertise as set forth in the Ordinance; and
WHEREAS, there is currently one vacant, unexpired term on this Advisory Board in the
category of"Collier County Humane Society"representative; and
WHEREAS, the Board of County Commissioners previously provided public notice
soliciting applications from interested parties; and
WHEREAS, the Animal Services Advisory Board has provided the Board of County
Commissioners with its recommendation for appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that MICHAEL SIMONIK,
representing the Collier County Humane Society, is hereby appointed to the Animal Services
Advisory Board to fulfill the remainder of the unexpired term, said term to expire on April 13,
2016.
THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 12th
day of February, 2013. /
/
ATTEST: BOA' 0 0 F COUN Y COMMISSIONERS
DWIGHT E. ROCK,,Clerk COLL ' C'►UN ► , FLORIDA
By IL..1 '���,R 4. . By A
Attila IMF: '!"ti r G Ire Rw I• A. HILLER, ESQ.
,�; ,r�� CHAIRWOMAN
Appr o ve' f . to form and
legal 'u I�' ency :
-wi
Jeffre\ �� ,1 tzkow
Count 'Il`j •rney
I