Backup Documents 03/12/2013 Item #16A 5ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 5
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE��Vl M
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Officetj
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 # I through #2 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
P tior, of the Chai=a "'s sionature draw a line through routing lines, #1 through #2. complete the checklist. and forward to the Countv Attomev Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1.
appropriate.
(Initial)
Applicable)
2.
3/12/13
Agenda Item Number
16 -A -5
3. County Attorney Office
County Attorney Office
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3/12/13
4. BCC Office
Board of County
Commissioners
Number of Original
'fir
5. Minutes and Records
Clerk of Court's Office
Documents Attached
/5
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
Jeff Wright, Asst. County Attorney
Phone Number
252 -8400
Contact / Department
appropriate.
(Initial)
Applicable)
Agenda Date Item was
3/12/13
Agenda Item Number
16 -A -5
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
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Type of Document
Release and Satisfaction of Lien
Number of Original
One
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
n/a
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike- through and revisions have been initialed by the County Attorney's
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INSTRUCTIONS & CHECKLIST
1: 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
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?
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2.
Does the document need to be sent to another agency for additional signatures? If yes,
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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
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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
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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
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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
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signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
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should be provided to the County Attorney Office at the t' e the item is input into SIRE.
Some documents are time sensitive and require forward' g to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aw a of our deadlines!
8.
The document was approved by the BCC on 311 13 and all changes made during the
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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 t
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BCC, all changes directed by the BCC have been made, and the document is ready or the
Chairman's signature.
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1: 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
This Instrument Prepared By:
Jen Baker
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2440
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That
COMMISSIONERS OF COLLIER COUNTY, FLORIDA i s
certain lien against all real and personal property owned by
Wyneta Thelice,
Respondents
16A 5
the BOARD OF COUNTY
the owner and holder of a
The lien was recorded June 21, 2011 in Official Records Book 4694, Page 364, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of
Three Thousand four hundred twelve dollars and twenty cents, plus accrued interest and
penalties, if any, and imposes certain obligations against real property situated in Collier
County, Florida, which property is described as follows:
GOLDEN GATE UNIT 6 BLK 220 LOT 5
547227 th Place SW Naples, FL
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as approved by the Board of County
Commissioners as satisfaction of the lien and hereby cancels said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction
of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien
ceases to exist.
D�HT E. BIOG�k� ;Clerk
Approved as to form and legal sufficiency
Jeff ri ht
Assis it County Attorney
CO
By:
COUNT/,
tUNTY/ FLORIDA
Gebrgia A. Hiller, Esq.,
Chairwoman
INSTR 4813060 OR 4897 PG 3078
RECORDED 3/19/2013 9:55 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00