Backup Documents 05/10/2011 Item #16A 6
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP ~
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO c;S 1
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE ~ ~ \2-
Print on pink paper. Attach to original document. Original documents should be hand delivered to the. Board Office, The completed routing slip and ri A 6
documents are to be forwarded to the Board Office only after the Board has 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
exception of the Chairman's signature, draw a line through routing lines # I through #4, complete the checklist, and forward to Ian Mitchell (line #5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1. Judy Puig GMD Planning & 7i
lp ~ :5 \l II
Regulation/Operations
2. CTIT
3.
4.
5 Ian Mitchell, Supervisor, BCC Office Board of County ~ 5/,rf I(
Commissioners
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 stafffor 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 Jen Baker
Contact
Agenda Date Item was May 10, 2011
A roved by the BCC
Type of Document Release and Satisfaction of Lien
Attached
Phone Number
252-2444
16A6
Yes
(Initial)
JB
Agenda Item Number
Number of Original
Documents Attached
1.
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
a ro date.
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 except 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 negotiated contract date whichever is a licable.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
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 Mav 10.2011 and all changes made
during the meeting have been incorporated in the attached document. The County
Attorne 's Office has reviewed the chan es, if a licable.
N/A
JB
JB
JB
JB
2.
3.
4.
5.
6.
I: Forms! County Forms! BCC Forms! Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26,05, Revised 2.24.05
A6
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
INSTR 4560686 OR 4681 PG 1998
RECORDED 5/13/2011 8:08 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a
certain lien against all real and personal property owned by:
Susan B. Williams, Respondent
The lien was recorded on March 11, 2009, in Official Records Book 4434, Page 1340, in
the Official Records of Collier County, State of Florida. The lien secures the principal
sum of one thousand seven hundred thirty-seven dollars and forty-four cents, and
imposes certain obligations against real property situated in Collier County, Florida,
which property is described as follows:
1705 Tarpon Bay Drive 5, Collier County, Florida
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges full satisfaction of the lien and hereby cancels
said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction
of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien
ceases to exist.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, acting through its Chairman directs execution and recording of this Release and
Satisfaction of Lien, by action of the Board on this ) oih day of
,...,.. .,~ .or ' 2011.
'Pr1ITI!t$T~;")
'..d~"QWIGI1P~E}'13ROCK Clerk
U~T{";i":W~"'~ '
\~,i:~;.; . '--\",,~~~.t/:8S ~o Cha 1~t~ Clerk
. ":i:~>...3.19~,~ture on I"
. . ApPJ::oved 'as to form and legal sufficiency
~.
Je E right
ASS'~ County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: Fre~'~~ir~
~
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