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Backup Documents 03/22/2011 Item #16K3ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip aid original documents are to be forwarded to the Board Office only after the Board has taken action on the item.) ROUTING SLIP Complete routing lines 41 through N4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the excentinn nfth, Charm 'c cionnrn.,. dry... I;".. ,r..,.....r. .....r.... u...,.. I .1. __.1 un ____�_._ A_. _,__ .. - ... Route to Addressee(s) (List in routing order) _.,....._.. .... _ ... ............................... Office luitials ])ate 1. (Initial) Applicable) 2. March 22, 2011 Agenda Item Number 16 -K -3 3. Chairman, with the exception of most letters, must be reviewed and signed by the Office of the 4. Colleen M. Greene, ACA County Attomey 03/23/11 5. Ian Mitchell, BCC Office Supervisor Board of Comity Commissioners Documents Attached Z d Li 6. Minutes and Records Clerk of Court's Office 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 Primary Staff Colleen M. Greene, ACA Phone Number 252 -8400 Contact (Initial) Applicable) Agenda Date Item was March 22, 2011 Agenda Item Number 16 -K -3 Approved by the BCC Chairman, with the exception of most letters, must be reviewed and signed by the Office of the Type of Document Release (Menachio) Number of Original 3 Attached County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully Documents Attached Z d Li INCTDI V`Tll�n�c n. �trcwr mm C Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 ama ter numberWodocument number,, Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is appropriate. Yes N/A (Not (Initial) Applicable) I. Original document has been signed /initialed 1'or legal sufticienc}'. (All documents to be signed by the CMG 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 Z d Li " 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 bem initialed by the County Attorney's Office and N/A 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 document or CMG the final negotiated contract date whichever is applicable. 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and CMG initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip ­­should N/A provided to tan Mitchell in the BCC office within 24 hours of BC('' approval. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame of the BCC's notions are nullified. Be aware of our deadlines! 6. document was approved by the BCC: on 03/22/11 and all changes made during the meeting CMG 1The have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. C Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 ama ter numberWodocument number,, ( Z d Li " C Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 ama ter numberWodocument number,, 16K3 MEMORANDUM Date: March 28, 2011 To: Colleen Greene County Attorney's Office From: Teresa Polaski, Deputy Clerk Minutes & Records Department Re: Release & Satisfaction — Menachio /Knowles Enclosed please find two originals referenced above (Agenda Item #16K3), which was approved by the Board of County Commissioners on Tuesday, March 22, 2011. The Minutes & Records Department has retained an original for the Board's Official Records. If you have any questions, please call me at 252 -8411. Thank you. 16K3 RELEASE AND SATISFACTION COMES NOW the BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, and does hereby waive, remise, relinquish, quit claim, and release any and all right to claim any liens, lien rights, or claims or demands of any kind whatsoever it may posesses or might have against JUSTINA T. MENACHIO and RANISHA L. KNOWLES, as well as the DIRECT GENERAL INSURANCE COMPANY, for consideration, the receipt of which is hereby acknowledged, of the sum of $2,935.30 plus $390.00 in costs (total of $3,325.30) for damages, which is the subject matter of this cause (Case No. 11- 00228 -SC) in the County Court of the Twentieth Judicial Circuit in Collier County, Florida and arising in and out of the accident and occurence on or about March 30, 2009 on State Road 29 approximately 5 miles north of County Road 837 in Collier County, Florida. DATED THIS j9a DAY OF t0 WCJA,— , 201 1. BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: FRED W. COYLE, CHAWMAN ATTEST: DWIGHT E. BROCK, CLERK OF, COURTS Y.' ck A4tc$4:as, tv Cha;Jr g,rat.If ot1 Approved'as.to for "m and legal sufficiency: Colleen M. Greene Assistant County Attorney ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP T OA CCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 3I I THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document Original documents should be hand delivered to the Board Office. The completed routing slip an ,16 6 documents are to be forwarded to the Board Office only after the Board has taken action on the ilem.l 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 41 through #4, complete the checklist and forward to Sue Filson (line 45). Route to Addressee(s) (List in routing order Office Initials Date 1. initial Applicable) 2. March 8, 2011 Agenda Item Number 16 -K -3 3. Chairman, with the exception of most letters, must be reviewed and signed by the Office of the 4. Jeff E. Wright, ACA County Attorney b 03/4-8/11 5. Ian Mitchell, BCC Office Supervisor Board of County Commissioners Documents Attached 3 )2 $ ( U 6. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION K3 (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 arc to be delivered to the BCC office only alter the BCC has acted to approve the item.) Name of Primary Staff Jeff E. Wright, Assistant County Attorney Phone Number 252 -8400 Contact initial Applicable) Agenda Date Item was March 8, 2011 Agenda Item Number 16 -K -3 Approved by the BCC Chairman, with the exception of most letters, must be reviewed and signed by the Office of the Type of Document Partial Release of Lien (Alas) Number of Original l Attached County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully Documents Attached INSTRUCTIONS & CHECKLIST 1; Forms/ County Forts/ BCC Fracas/ Original Documents Routing Slip W WS Original 9.03 04, Revised 126.05, Revised 2.24.05 umatter_numbewtadocument_numbeo> Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is appropriate. Yes N/A (Not initial Applicable) 1. Original document has been signed /initialed for legal sufficiency. (All documents to be signed by the J W 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 Office and N/A all other parties except the BCC Chairman anti the Clerk to the Board 3. The Chairman's signature I ine date has been entered as the date of BCC approval of the document or J W the final negotiated contract date whichever is applicable. 4. "Sign here" tabs arc placed on the appropriate pages indicating where the Chairman's signature and J W initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip should be N/A provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. Some documents are time sensitive and require forwarding to allahassee 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 on 03108111 and all changes made during the meeting 1 W have been incorporated in the attached document. The County Attorney's Office has reviewed the chap es, if applicable. 7. Please return a recorded on inal to Jeff E. Wright, ACA JW 1; Forms/ County Forts/ BCC Fracas/ Original Documents Routing Slip W WS Original 9.03 04, Revised 126.05, Revised 2.24.05 umatter_numbewtadocument_numbeo> 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 163 INSTR 4541911 OR 4665 PG 1630 RECORDED 3/29/2011 11:30 AM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA 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: Francisca Alas, Respondent The lien was recorded on October 8, 2007, in Official Records Book 4289, Pages 3955- 3956, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of five thousand five hundred forty -nine dollars, 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 North 44.66 feet of Lot 1 and the South 45 feet of Lot 2, Block 225, GOLDEN GATE UNIT 6, according to the map or plat thereof as recorded in Plat Book 5, Page 124 to 134, inclusive, Public Records of Collier County, Florida (aka 2592 Santa Barbara Boulevard, Collier County, Florida) Folio No. 36323880007 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 F Lien, by action of the Board on this — -�— day of M &-,I- c� , 2011. ATTEST DWIGHT E. BROCK, Clerk It:ure oe�: d'as to form, and legal sufficiency E. Wright stt� County Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: Fred W. Coyle, Chairman