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Backup Documents 12/13-14/2011 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 613 3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 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 (List in routing order) 1. Priscilla Doria Housing, Human&Veteran PD 12/15/2011 Services Department 2. 3. 4. Ian Mitchell, Executive Manager Board of County Commissioners Q 14 I 5. Minutes and Records Clerk of Courts 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 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 December 13,2011 Agenda Item Number 16.D.3 Approved by the BCC Type of Document One(1)satisfaction of mortgage Number of Original 1 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 12/13/2011 (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 16133 MEMORANDUM Date: January 17, 2012 To: Priscilla Doria, SHIP Loan Processor Housing, Human & Veteran Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Satisfaction of Mortgage Jose & Maria Lara Attached for your records are copy of the recorded document (including the receipt) referenced above, (Item #16D3) approved by the Board of County Commissioners on Tuesday, December 13, 2011. The original agreement will be held on file in the Minutes and Records Department in the Board's Official Records. If you have any questions, please call 252-7240. Thank you 160 3 INSTR 4646273 OR 4754 PG 1849 RECORDED 1/10/2012 4:03 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Prepared by: COLLIER COUNTY FLORIDA Collier County REC$10.00 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 Jose A. Lara and Maria Lara to COLLIER COUNTY, recorded 7/08/2002, in Official Records Book 3067 Page 1167, 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: Lot 1,Block A,Habitat Village, according to the Plat thereof as recorded in Plat Book 37,Pages 48 through 51, inclusive, of the public records of Collier County, Florida. (12024 Sitterley Street, Naples,FL 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 , day of‘ Ctlnb.¢4. , 2011. ATTEST:--- BOARD OF COUNTY COMMISSIONERS DWGGI ' f3R(�e Clerk COLLIER COUNTY, FLORIDA By 4 '� By: . kt l - - r 4 e.. Jerk FRED W. COYLE, CHAI AN /a/13 /o 1 I Approved as to form and lega uffic'-ncy: Jeff E[r/ht Assist.. ounty Attorney