Backup Documents 06/22/2010 Item #16A18ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP'
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNaWIF�!
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 41 through 44 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
—ti— of tho C` _ ni a 'c eionntion, draw a line, through routine lines 41 through 44. complete the checklist. and forward to Sue Filson (line W.
-.__ __.. _. __ _____-
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
1. Judy Puig
CDES Administration
(Initial)
Applic able)
2.
June 22, 2010
Agenda Item Number
16A18
3.
signed by the Chairman, with the exception of most letters, must be reviewed and signed
4.
Partial Release of Lien
Number of Original
I
5 Ian Mitchell, Supervisor, BCC Office
Board of County
Commissioners
Documents Attached
IP
�3 (p
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. Nominally 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
gam 1
Name of Primary Staff
Marlene Serrano
Phone Number
252 -2487
Contact
appropriate.
(Initial)
Applic able)
Agenda Date Item was
June 22, 2010
Agenda Item Number
16A18
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Partial Release of Lien
Number of Original
I
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WAS 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
appropriate.
(Initial)
Applic able)
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
N/A
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 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 05/25/10 (enter date) 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.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WAS Original 9.03.04. Revised 1.26.05, Revised 2.24.05
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
16A 18
INSTR 4446386 OR 4580 PG 1950
RECORDED 6/28/2010 8'53 AM PAGES 1
DWIGHT E. BROCK
COLLIER COUNTY CLERK OF THE CIRCUIT COURT
REC $10 00
PARTIAL 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:
Heriberto and Antonio Perez, Respondents
The lien was recorded on 12/2/2008 in Official Records Book 4410, Pages 3220 -3221,
in the Official Records of Collier County, State of Florida. The lien secures the principal
sum of fifteen thousand three hundred sixty -eight dollars and eighteen cents, plus
accrued interest and penalties, if any, and imposes certain obligations against all real
and personal property owned by Respondents and situated in Collier County, Florida.
This releasing instrument operates to release only the following property from the lien:
LOT 13, BLOCK 2, TRAIL ACRES UNIT 1, ACCORDING TO THE PLAT THEREOF AS
RECORDED IN PLAT BOOK 3, PAGES 5 AND 50, OF THE PUBLIC RECORDS OF
COLLIER COUNTY, FLORIDA
with a street address of 123 is' Street, Collier County, Florida
Folio No. 77210720006
Collier County, a political subdivision of the State of Florida, by execution of this Partial
Release and Satisfaction of Lien, acknowledges payment as satisfaction of the lien with
respect to the above property only, and hereby cancels the lien in relation to said
property.
The Clerk of the Circuit Court is hereby directed to record this Partial Release and
Satisfaction of Lien in the Official Records of Collier County, Florida, to acknowledge that
the lien ceases to exist as to the above described property only, the lien shall remain in
full force and effect with respect to all other real and personal property owned by
Respondents.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, acting through its Chairman directs execution and recording of this Partial
Release and Satisfaction of Lien, by action of the Board on this day of
J ✓nQ , 2010.
ATTEST', ";
DWIGHT, -E. �RQ�K; ;Clerk
By:
$Deputy Clerk
Apprc1"* s 0%rm and legal sufficiency
Je E. right
Assktaht County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
Fred W. Coyle, Chairm n