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Backup Documents 01/25/2011 Item #16A7 ORIGINAL DOCUMENTS CHECKLIST & ROU;JgS~. "23, TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 L. A 7 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATWU Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office, The completed routing slip ,md original documents are to be forwarded to the Board Office only after the Board ha~ taken action on the item,) 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 exce tion of the Chairman's si nature, draw a line throu h rout in lines #1 throu #4, com lete the checklist, and forward to Sue Filson (line #5, Route to Addressee(s) Office Initials Date (List in routin order) 1. Judy Puig GMD Planning & Regulation/Operations 2. 3. 4. 5 Ian Mitchell, Supervisor, BCC Office Board of County Commissioners Clerk of Court's Office 1('tJlt 6. Minutes and Records 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 Sue Filson, need 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.rimary Staff Marlene Serrano Phone Number 252-2487 Contact Agenda Date Item was January 25, 2011 Agenda Item Number 16A7 Approved by the BeC Type of Document Release of Liens Number of Original 1 Attached Documents Attached 1. INSTRUCTIONS & CHECKLIST Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is a ro riate. Original document has been signed/initialed for legal sufficiency. (All documents to be 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 ossibly State Officials.) All handwritten strike-through and revisions have been initialed by the County Attorney's Office and all other arties exce t the BCC Chairman and the Clerk to the Board The Chairman's signature line date has been entered as the date ofBCC approval of the document or the final ne otiated contract date whichever is a licable. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's si nature and initials are re uired. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Ian Mitchell in the BCC office within 24 hours ofBCC 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 our deadlines! The document was approved by the BCC on 01/25/11 (enter date) and all changes made during the meeting have been incorporated in the attached document. The Count Attorne 's Office has reviewed the chan es, if a Iicable. Yes (Initial) N/A (Not A licable) 2. 3. 4. 5. 6. gr N/A ~ I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9,03,04, Revised 1.26,05, Revised 2,24,05 This Instrument Prepared By: Jeff E. Wright ,Assistant County Attorney Collier County Attorney's Office 3001 E. Tamiami Trail Naples, FL 34112 (239) 252-8400 16A 7 INSTR 4520889 OR 4647 PG 734 RECORDED 1/28/2011 3:24 PM PAGES 1 DWIGHT E BROCK CL COLLIER COUNTY ho~~~ OF THE CIRCUIT COURT REC $10,00 PARTIAL RELEASE 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: Herbert A. Salgat, Jr., Respondent The lien was recorded on September 13, 2010, in Official Records Book 4603, Pages 3181-3183, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of six thousand five hundred eighty dollars and fifty-seven cents, plus accrued penalties. Collier County, a political subdivision of the State of Florida, by execution of this Partial Release of Lien, acknowledges partial payment and hereby cancels and releases the lien in relation to the following property only: The East 165 feet of Tract 85, Golden Gate Estates, Unit 28, according to the plat thereof, as recorded in Plat Book 7, Pages 19 and 20, in the Public Records of Collier County, Florida (aka 3660 23rd Avenue SW, Collier County, Florida) Folio No. 38048240001 The Board of County Commissioners hereby acknowledges that the lien ceases to exist as to the above described property only, and that the lien shall remain in full force and effect with respect to all other real and personal property owned by Respondent. IN WITNESS WHEREOF, the Board of County Commissioners of Collier County, Florida, acting through its Chairman directs execution and recording of this Partial Release of Lien, by action of the Board on this ~ s- day of .7&.7/) L..>' e'J .'1 ,2011. "i; /' BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA ~~W~. , Chairman By: J ff E. right A . ant County Attorney