Backup Documents 09/11-12/2012 Item #16D13ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP Uto
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE ` 1(
ROUTING SLIP
Complete routing lines #I through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already comple itl tl
exception of the Chairman's signature, draw a line through r ting lines #1 throw #4, complete the checklist, and forward to Ian Mitchell (line #5).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
1. Priscilla Doria
Housing, Human & Veteran
Services Department
(Initial)
Please call or e-mail
2.Siaty Jo Breek, Exeett6w Secretary
er
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for pick u
3.
September 11, 2012
Agenda Item Number
16.13.13
4. Ian Mitchell, Executive Manager
Board of County Commissioners
Type of Document
One (1) Satisfaction of Mortgage
Number of Original
q <<3rfz
7 U L', 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
(Initial)
Please call or e-mail
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
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for pick u
Agenda Date Item was
September 11, 2012
Agenda Item Number
16.13.13
Approved by the BCC
by the Office of the County Attorney. This includes signature pages from ordinances,
Type of Document
One (1) Satisfaction of Mortgage
Number of Original
1
Attached
I Signature needed on all documents.
Documents Attached
INSTRUCTIONS & CHECKLIST
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)
1.
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. 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
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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
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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
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si nature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
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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 09/11/2012 (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
16D13
INSTR 4740310 OR 4836 PG 879
Prepared by: Barbetta Hutchinson RECORDED 9/14/2012 4:19 PM PAGES 1
Collier County DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Housing, Human & Veteran Services COLLIER COUNTY FLORIDA
3339 E. Tamiami Trail REC $10.00
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 Tara Green to COLLIER COUNTY, bearing the date of April 2, 2004, recorded
on April 30, 2004 in Official Records Book 3552, Page 3701, 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 situated in said State and County described as follows, to wit:
Legal Description: Lot 83, Carson Lakes, Phase II, Collier County, Florida (3429 Carson Lakes
Circle, Immokalee, Florida 34142).
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 _eday of S (� , 2012.
ATTEST:
DWIGHT E. BROCK, Clerk,
B
i1LlS`. to CMtt&j4? Clerk
,I i goat oa
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: '°` `- W. d .
FRED W. COYLE, CHA N