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Backup Documents 05/08/2012 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE (Q /(5 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 routing lines#1 through#4,complete the checklist,and forward to Ian Mitchell(line#5). Route to Addressee(s) Office Initials Date D 5 (List in routing order) 1. Priscilla Doria Housing, Human &Veteran PD 06/12/2012 Services Department 2. 3. 4. Ian Mitchell, Executive Manager Board of County Commissioners VM a0/ 5. Minutes and Records Clerk of Courts Office — 15KK UP-ft-2- 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 Priscilla Doria Housing,Human and Phone Number 252-5312 Contact Veteran Services Please call or e-mail for pick up Agenda Date Item was ..Ma - øt - 6,4...f firf R Zo I Z Agenda Item Number 16.D.5 Approved by the BCC Type of Document One(1)Satisfaction of Mortgage Number of Original l Attached Signature needed on all documents. Documents Attached 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. Original document has been signed/initialed for legal sufficiency. (All documents to be PD 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 PD 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 PD 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 PD signature and initials are required. 5. In most cases(some contracts are an exception),the original document and this routing slip PD 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 05/05/2012(enter date)and all changes PD N/A is not made during the meeting have been incorporated in the attached document.The an option for County 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 Prepared by: 16 L,' 5 Collier County 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 Aureliano Salazar to COLLIER COUNTY, bearing the date of December 6, 1996, recorded on December 10, 1996 in Official Records Book 2259,Page 0471,of the Public Records of Collier County, Florida, securing a principal sum of$2,500.00 and certain promises and obligations set forth in said Mortgage, upon the property situated in said State and County described as follows,to wit: Legal Description: Lot 23,Block 7,Naples Manor Addition,according to the plat thereof,as recorded in Plat Book 3,Page 67 and 68,inclusive, of the Public Records of Collier County,Florida (5369 Catts Street,Naples,Florida 34113) 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. Dated this 8 day of kit al ,2012. '.', ';% ,,,.., ATTEST..'' • 'a BOARD OF COUNTY COMMISSIONERS DWIGHT E. BR,OCKlerk COLLIER COUNTY, FLORIDA tit. Y ACtlS } �Pe u Clerk FRED W. COYLE, CHAI AN ilonaii r0 nn . . Approved as to form and legal s iffibiency: 1 V J Jeff . W'fight Asst t. t County Attorney