Backup Documents 10/08/2013 Item #16A 5ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP `*4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATUMAttorney L 16
Print on pink paper. Attach to original document The completed routing slip and original documents are to be forwarded to the Ac?
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.
Complete routing lines #I 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 #I through #2, complete the checklist, and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order)
Office
Initials
Date
1.
Attorney
Initial
Applicable)
2.
10/8/13
Agenda Item Number
16 -A -5
3. County Attorney Office
County Attorney Office
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10/8/12
4. BCC Office
Board of County
Commissioners
G
\rl.(
o
5. Minutes and Records
Clerk of Court's Office
I Documents Attached
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
- AA ----a mot,... a .ono need to contact staff far additioi nr missina information.
Name of Primary Staff
Marlene Serrano, Code Enforcement
Phone Number
252 -2487
Contact / Department
Attorney
Initial
Applicable)
Agenda Date Item was
10/8/13
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,
KN
Type of Document
Release of Lien - Rathjen�
Number of Original
One
Attached
I
I Documents Attached
PO number or account
1'11 -1 11."30
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
I: Fors/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS 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 time the item is input into SIRE.
Some documents are time sensitive and require forward' to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be awar of your deadlines!
8.
The document was approved by the BCC on 10/8/13 Knd all changes made during the
KN
• 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
BCC, all changes directed by the BCC have been made, and the document is ready for
Chairman's si ature.
I: Fors/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12
This Instrument Prepared By:
Marlene Serrano
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2487
INSTR 4902022 OR 4975 PG 362
RECORDED 10/14/2013 4:14 PM PAGES 1
DWIGH , CLERK
DA F THE CIRCUIT COURT
COLLIE R COUNT(
REC $10.00
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a
certain lien against all real and personal property owned by:
Richard L. and Sandra F. Rathjen,
Respondent
The lien was recorded on June 8, 2011 in Official Records Book 4690, Page 239, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of
Six Thousand and Eighty One Dollars and Fifteen 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 4 BLK 134 LOT 111
4866 21 Ave SW, 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. _
ATTEST
DWIGHT.F.•IRQ K, Clerk
t y
@St aS t0 Chaaln`s Deputy Clerk
si�ture ot}byc�
Approved as to form and legality
l�
Kevin Noell
Assistant County Attorney
BOAKD UNTY )tOMMISSIONERS
CO IE NTY, LORIDA
M
Georgia A. Hiller, Esq.,
Chairwoman