Backup Documents 06/25/2013 Item #10C ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the C tto 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 6/25/13
4. BCC Office Board of County
Commissioners 6ie ,(pt a j i, ,/ /
5. Minutes and Records Clerk of Court's Office ^�,,, PTA ��3 CZ: P�
PRIMARY CONTACT INFORMATION �1 r`
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 6/25/13 ✓ Agenda Item Number 10-C V
Approved by the BCC
Type of Document Resolution—appo tment to Black Affairs Number of Original One
Attached Advisory Board Documents Attached
PO number or account n/a
number if document is
to be recorded abi -- 14S
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 time the item is input into SIRE.
Some documents are time sensitive and require forwarding o Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware f your deadlines!
8. The document was approved by the BCC on 6/25/13 nd 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 the JAK.b...A
BCC,all changes directed by the BCC have been made,and the document is ready for the v� f
Chairman's signature. 1�/
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
10C
MEMORANDUM
Date: July 5, 2013
To: Jeffrey Klatzkow, County Attorney
County Attorney's Office
From: Ann Jennejohn, Deputy Clerk
Board Minutes & Records Department
Re: Resolution 2013-145: Appointing Darling Smith to the
Black Affairs Advisory Board
Attached for your records is a copy of the Resolution referenced above, (Items #10C)
adopted by the Board of County Commissioners on Tuesday June 25, 2013.
The Minutes and Record's Department has held the original document for the Board's
Official Record.
If you have any questions please feel free to contact me at 252-8406.
Thank you.
Attachment
bc
Ai
RESOLUTION NO. 2013 - 14 5
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING DARLING SMITH TO
THE BLACK AFFAIRS ADVISORY BOARD.
WHEREAS, Collier County Ordinance No. 91-38 established the Black Affairs Advisory
Board to provide periodic reports to the Board of County Commissioners that identify and
evaluate problems unique to the Black community and recommend ways to ensure open
communication between minorities and Collier County Government; and
WHEREAS, Ordinance No. 91-38, as amended, provides that the Advisory Board shall
consist of nine members; and
WHEREAS, there are currently vacancies on this Advisory Board; and
WHEREAS, the Board of County Commissioners previously provided public notice
soliciting applications from interested parties; and
WHEREAS, the Black Affairs 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 DARLING SMITH is hereby
appointed to the Black Affairs Advisory Board to serve a four-year term, said term to expire on
June 25, 2017.
THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 25th
day of June, 2013.
ATTEST: BOARD 0 r C SUN 'Y COMMISSIONERS
DWIGHT E. BROCK, Clerk COLLI' '+` 0 T , FLORIDA
By L `1g® srs , By a I
A eSt ,fr4.:i. im+ lerk GE�' SAC. HILLER, ESQ.•
f S'q . ur• only. CHAIRWOMAN
App + ,e s • otm and legality:
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