Backup Documents 11/13/2018 Item #16D13 A51):1/4c
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 1
��`(� TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 3
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 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#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initi is Date
1. Susan Golden Community and Human 11/7/18
Services
2. Jennifer Belpedio County Attorney Office
3. BCC Office Board of County
Commissioners \AN\ t\`1'-k\\
4. Minutes and Records Clerk of Court's Office lig/l8 .31.64•1-
PRIMARY
1.64 „,PRIMARY CONTACT INFORMATION
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,may need to contact staff for additional or missing information.
Name of Primary Staff Susan Golden/C S Phone Number 252-2336
Contact/ Department
Agenda Date Item was 11/13/2018 Agenda Item Number b �
Approved by the BCC
Type of Document SHIP Satisfaction of Mortgage(M.Jay) Number of Original 1
Attached Documents Attached
PO number or account
number if document is 123-155974-649030-32001.1
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A”in the Not Applicable column,whichever is Yes N/A(Not
appropriate. t thiJ Ap ble)
1. Does the document require the chairman's original signature? Stamp —
2. Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be SG
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the SG
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SG
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
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!
8. The document was approved by the BCC 11/13/2018 and all changes made during the SG N/A is not
meeting have been incorporated in the attached document. The County Attorney's an option for
Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the SG ,, N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for t,- c�' an option for
Chairman's signature. � this line.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
INSTR 5637 511 OR 5572 PG 500
RECORDED 11/15/2018 2:18 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by: Susan Golden REC$10.00
Collier County
Community and Human Services 16 D 13
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 Michelle S. Jay, a single person to COLLIER COUNTY, dated 03/3/2009 and
recorded on 03/04/2009 in Official Records Book 4432 Page 2297 of the Public Records of Collier County,
Florida,having met the affordability housing obligation associated with the$5,400.00 and certain promises
and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage 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.
T is Satisfaction of Mortgage was approved by the Board of County Commissioners on -
CLA \3 ,2018, Agenda Item Number 1,10:1 . ).5,
ATTEST: BOARD 0 0 COMM • P i S
CRYSTAL K. KINZEL, OF COL R C' Y FLe ��'• ,/
CLEC i •
41 • CC- By:
Attest as tvwitill�( i RK ANDY SOLIS,CHAIRMAN
Appr6**rit d legality:
YJen er A.Belpedi C5
Assistant County Atto y 1;4, -yv
‘O