Backup Documents 12/10-11/2013 Item #16A10ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 14'#- "er
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 C�
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 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 cokeete wiilt 10
exception of the Chairman's signature, draw a line throuah routine lines # I through #2. complete the checklist and forward to the County Attnmev Offire
Route to Addressees (List in routing order)
Office
Initials
Date
1.
a ro riate.
Initial
Applicable)
2.
12/10/13
Agenda Item Number
16-A-10
3. County Attorney Office
County Attorney Office
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12/10/13
4. BCC Office
Board of County
Commissioners
Number of Original
L Z` V A t-5,
5. Minutes and Records
Clerk of Court's Office
,r --
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
Marlene Serrano, Code Enforcement
Phone Number
252-2487
Contact / Department
a ro riate.
Initial
Applicable)
Agenda Date Item was
12/10/13
Agenda Item Number
16-A-10
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
KN
Type of Document
Release & Satisfaction - Pepper
Number of Original
One
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
signed by the Chairman, with the exception of most letters, must be reviewed and signed
number if document is
111-138911-649030
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
a ro riate.
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,
KN
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
J
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 12/10/13 and all changes made during
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the 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 thA
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BCC, all changes directed by the BCC have been made, and the document is ready for e
Chairman's signature.
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:
Marlene Serrano
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252-2487
16A10
INSTR 4925037 OR 4993 PG 97
RECORDED 12/17/2013 11:34 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a
certain lien against all real and personal property owned by:
Crystal Pepper,
Respondent
The lien was recorded on September 20, 2010, in Official Records Book 4606, Page
590, in the Official Records of Collier County, State of Florida. The lien secures the
principal sum of Five Thousand, Eight Hundred and Twenty Seven Dollars and Ninety
Six Cents, plus accrued interest and penalties, if any, and imposes certain obligations
against real property situated in Collier County, Florida.
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as approved by the Board of County
Commissioners as satisfaction of the lien and hereby cancels said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction
of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien
ceases to exist.
ATTEST
DWIGHT E.1 R0C Clerk
"Att@St a$ t0 Choftapputy Clerk
�F .
�rture cola
Approved as to form and legality
Kevin Noell
Assistant County Attorney
BOARDPF POPNTY COMMISSIONERS
COLLI R PUNTY, FLORIDA
1
By:
G rgia A. Hiller, Esq.,
Chairwoman