Backup Documents 10/22/2013 Item #16D 1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIIJ L j
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6
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 routine slips and original documents must be received in the County Attornev Ott-ice no later
than Monday preceding the Board meeting.
* *NEW ** ROUTING SLIP I'r°CtiWtj Z lat2q
Complete routing lines # I through #2 as appropriate for additional signatures, dates, and/or information needed. If the t 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 Addressees (List in routing order)
Office
Initials
Date
1. Wendy Klok&
HHVS
Wk
10/22/13
2. Jennifer Belpedio
County Attorney Office
Agenda Item Number
16.D.1 1/
3. BCC Office
Board of County
Commissioners
ZA h�
0\2- C,
4. Minutes and Records
Clerk of Court's Office
Number of Original
10 � /13
(0 :2
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
Wendy Klopf fflVS
Phone Number
252 -2901
Contact / Department
appropriate.
(Initial)
Applicable)
Agenda Date Item was
10/22/13
Agenda Item Number
16.D.1 1/
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
NA
Type of Document
Satisfactions of Mortgage -1
Number of Original
1
Attached
Original document has been s- ied/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
I check # 15114 for $10.00 de out to the
number if document is
Clerk of Courts ✓
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
NA
INSTRUCTIONS & CHECKLIST
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I: Forts/ 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?
WK
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 s- ied/initialed for legal sufficiency. (All documents to be
WK
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
WK
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
WK
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 10/22/13 and all changes made during
WK V
N/A is not
the meeting have been incorporated in the attached document. The County
an option for
Attorne 's Office has reviewed the changes, if applicable.
is line.
9.
Initials of attorney verifying that the attached document is the version approved by the
WK
A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the
option for
lis
Chairman's signature.
line.
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I: Forts/ 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
16D
INSTR 4907303 OR 4979 PG 143
RECORDED 10/29/2013 3:55 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by: Wendy Klopf COLLIER COUNTY FLORIDA
Collier County REC $10.00
Housing, Human & Veteran 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 Kevin Pastor to COLLIER COUNTY, recorded on September 15, 2000 in
Official Records Book 2722, Page 0600, and a subordination recorded on February 15, 2002 in Official
Records Book 2982, Page 2904 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 -
0 c. 4-0 be y- cR a. , 2013, Agenda Item Number I (p L I .
ATTEST: :' BOA O CO TY CO MISSIONERS
DWIGHT E. BROCIC,'CLERK OF C r I It C LINTY, ORIDA
By: _ By:
L`L °RI GEOR6 IA A. L R, ESQ., CHAIRWOMAN
Attest as tQ44`
si�na �l oniy.
Approved for form "arid legality:
Jer A. Belpedio \1�
Assistant County Attorney ���