Backup Documents 12/13-14/2011 Item #16D 6 1606
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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#I through#4,complete the checklist,and forward to Ian Mitchell.
Route to Addressee(s) Office Initials Date
(List in routing order)
Lisa Oien HHVS /2ry�lc
Ian Mitchell, Executive Manager Board of County Commissioners
Minutes and Records Clerk of Courts Office TCY\ (2i 1q (II
I
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 Lisa Oien Phone Number After recording call
Contact 252-6141 HHVS•f i .up
reeerci•s-
Agenda Date Item was 12/13/2011 Agenda Item Number
Approved by the BCC nth
Type of Document One Release of Lien Number of Original 1
Attached 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 LO
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 LO
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 LO
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 LO
signature and initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip LO
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 on 12/13/2011(enter date)and all changes LO
made during the meeting have been incorporated in the attached document.The
County Attorney's Office has reviewed the changes,if applicable.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
�. 6 0 6
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• `''`f" r• Memorandum
fOR10' '1
To: Minutes and Records
From: Lisa Oien
Date: December 13, 2011
Subject: Release of Lien
Re: item# 16D6
The recording fee for this item must be paid by the Homeowner.
Please contact me when the item is ready for recording then we can give her
direction.
Thanks, Lisa Oien 252-6141
Department of Housing and Human Services
Collier County
1. 6U 6
INSTR 4640832 OR 4749 PG 1247
RECORDED 12/22/2011 3:48 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#21 I
Naples,FL 34112 THIS SPACE FOR RECORDING
RELEASE OF LIEN -
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 Lien Agreement a of the
by Anne Delva to Collier County,recorded on 4/14/2011 in Official Records Book 4672,
exonerate the
Public Records of Collier County, Florida, hereby does remise, release, quitclaim,
from the lien and operation of the said agreement,that certain portion of the premises conveyed
by said lien,more particularly described as follows:
Legal Description: Lot 22,Block B,
South Tamiami Heights,as recorded in Plat Book 3,page 44 of
the Public Records of Collier County,Florida
The undersigned is authorized to and ecebehn forever discharged of record with tresPect t°said
named property, and consents to this Lien g
property.
Dated this t 3 day of bed.. ,2011.
ATTEST: ,a, c BOARD OF COUNTY COMMISSIONERS
o
DWIGHTT,^lB K S l COLLIER COUNTY,FLORIDA
By.
•>?7,.
By. ` a,.; FRED W. COYLE,CIIA AN
► - .` pu Irk lerk 04
Ape ov• ■ :. to form and
leg s a ,,i,2,1
4ilip ;
Je's ,T, . ". ow
Coun .i orney