Backup Documents 05/08/2012 Item #16D 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT Tp
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
ROUTING SLIP
Complete routing lines # 1 through #4 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 routine lines #I through #4 rmmnlete the rheA-1kt and f r., and t. r9. N,rr,.hPu nano sc�
Route to Addressee(s)
List in routing order
Office
Initials
Date
1. Lisa N. Carr
Housing, Human & Veteran
Services Department
LNC
05/14/2012
2.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
LNC
for pick u
3.
May 8, 22012
Agenda Item Number
16.D. 2
4. Ian Mitchell, Executive Manager
Board of County Commissioners
Type of Document
5. Minutes and Records
Clerk of Courts Office
1
Attached
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Ian Mitchell, needs to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.
Name of Primary Staff
Lisa N. Carr Housing, Human and Veteran
Phone Number
252 -2338
Contact
Services
(Initial)
Please call or e-mail
L
Original document has been signed/ initialed for legal sufficiency. (All documents to be
LNC
for pick u
Agenda Date Item was
May 8, 22012
Agenda Item Number
16.D. 2
Approved by the BCC
by the Office of the County Attorney. This includes signature pages from ordinances,
Type of Document
Release of Lien
Number of Original
1
Attached
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Documents Attached
INSTRUCTIONS & CHF,CKI.IST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(Initial)
Applicable)
L
Original document has been signed/ initialed for legal sufficiency. (All documents to be
LNC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's
LNC
Office and all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the
LNC
document or the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
LNC
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
LNC
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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!
6.
The document was approved by the BCC 05/8/2012 (enter date) and all changes made
LNC
N/A is not
during the meeting have been incorporated in the attached document. The County
an option for
Attorney's Office has reviewed the changes, if applicable.
line 6.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
160 z 1
Prepared by: Lisa Carr
Collier County
Housing, Human & Veterans Services Department
3339 E. Tamiami Trail, Building H, #211
Naples, FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, whose post office address is 3299 E. Tamiami Trail, Naples, Florida 34112, is the
owner and holder of a certain Lien executed by THUY TRAN to Collier County, against property located
in Collier County, to wit:
LOT 30, Block H, Flamingo Estates, According to the Plat Recorded at Plat Book 10,
Page 34, of the PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA. (Address:
4537 Flamingo Dr. Naples, FL 34104) Property ID No 32488600003
The Lien Agreement and Single Family Rehabilitation Assistance Agreement were recorded on June 2,
2010 in Official Records Book 4572, Pages 907- 908, of the Public Records of Collier County, Florida.
Collier County, a political subdivision of the State of Florida, by execution of this Release of Lien,
acknowledges that funds were never disbursed and no payment is due under the terms of the Lien and
Single Family Replacement Assistance Agreement.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County. Florida, acting
through its Chairman, directs execution and recording of this Release of Lien, by action of the Board on
this �� . day of 1iV1 92012.
ATTEST:
DWIGI�T' : ,BR6CJK Clerk
BV',:
: epu erk
Approved as to form and
Legal sufficiency:
JennifWB. White
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
Y.
FRED W. COYLE, CHAI N
INSTR 4694928 OR 4797 PG 3281
RECORDED 5/17/2012 8:49 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00