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Backup Documents 04/27/2010 Item #16D13ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIPS 6 D 13j,, 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 and 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 #I 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 throu h routing lines #1 through #4, complete the checklist, and forward to Sue Filson (line #5). Route to Addressee(s) (List in routing order) Office Initials Date 1.Frank Ramsey Housing and Human Services (Initial) 4/28/2010 2. Chairman Fred W. Coyle Board of County Commissioners Agenda Item Number 16D 13 3. signed by the Chairman, with the exception of most letters, must be reviewed and signed 4. Satisfaction Number of Original 1 5. Ian Mitchell, Executive Manager Board of County Commissioners Documents Attached 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 Frank Ramsey, Housing Manager Phone Number 252 -2336 Contact a ro riate. (Initial) Applicable) Agenda Date Item was 4/27/2010 Agenda Item Number 16D 13 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document Satisfaction Number of Original 1 Attached I Documents Attached INSTRUCTIONS & CHECKLIST l: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is Yes N/A (Not a ro riate. (Initial) Applicable) 1. 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 possibly State Officials.) 2. All handwritten strike- through and revisions have been initialed by the County Attorney's 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 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 signature and initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Sue Filson 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 04/27/2010 and all changes made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. l: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 16D 11- INSTR 4424011 OR 4561 PG 1817 RECORDED 4/30/2010 3:26 PM PAGES 1 Prepared by: DWIGHT E. BROCK Frank Ramsey COLLIER COUNTY CLERK OF THE CIRCUIT COURT Collier County REC $10.00 3301 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 3301 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain Mortgage executed by HILDEBRANDO HERNANDEZ AND GERALDINA GRAS to COLLIER COUNTY, recorded November 22, 2000 in Official Records Book 2746, Pages 1960, et seq., of the Public Records of Collier County, Florida, securing a principal sum of $2,500.00 and certain promises and obligations set forth in said Mortgage, upon the property situated in said State and County described as follows, to wit: 1121 N. Wilson Blvd, Naples, Florida 34120, more particularly described as the South 180 feet of Tract 132, Golden Gate Estates, Unit 19, according to the plat thereof recorded in Plat Book 7, page 78, of the Public Records of Collier County, Florida. 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 27`h day of April, 2010. ATTEST: DWIGHT. E. BROCK, Clerk By: -- I - v V Atteit is to F M k pfty Clerk Approved as to form and legal tciency: Jet E. Wright Ask*sVnt County Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: W C 4 2010 FRED W. COYLE, CHAI