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Backup Documents 01/22/2019 Item #16D 9 ``' ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 p g TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO �` 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 Initials Date 1. Susan Golden Community and Human 1/18/19 • Services . 2. Jennifer Belpedio County Attorney Office ►Ia3I19 3. BCC Office Board of County Commissioners rt/� � Alc , 4. Minutes and Records Clerk of Court's Office t` \M /7'Y'r 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-CH Phone Number 252-2336 Contact/Department Agenda Date Item was 01/22/2019 Agenda Item Number 16.D.9 Approved by the BCC Type of Document Satisfaction of Mortgage Number of Original Attached Documents Attached 3 PO number or account �, number if document is la�/ - 15 (114 ' 6Q ow-' 1. 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. (inl,(inAppli414 1. Does the document require the chairman's original signature? 2. Does the document need to be sent to another agency for additional signatures? If yes, NA 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 01/22/19 and all changes made during the + meeting have been incorporated in the attached document. The County Attorney's "optionr Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by thec-, 1- • is not BCC,all changes directed by the BCC have been made,and the document is ready for t ' option for Chairman's signature. �o✓( 1...A'' ' was is line: 61S8( \ 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 5664138 OR 5592 PG 2789 RECORDED 1/25/2019 10.14 AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA REC$10.00 Prepared by: Susan Golden Collier County Community and Human Services 3339 E.Tamiami Trail 16 D 9 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 Asecour & Mauronise Natan, Husband & Wife to COLLIER COUNTY, dated 5/26/2004 and recorded on 7/28/2004 in Official Records Book 3615 Page 0751 of the Public Records of Collier County,Florida,securing a principal sum of$2,500.00 of SHIP and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges satisfaction of said Mortgage, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. This Satisfaction of Mortgage was approved by the Board of County Commissioners on - Z-0–v)tktkr__Nev 2019, Agenda Item Number 1 Ch . ATTEST: BOARD F ' •V TY CO SSIO RS CR I AL K. KIN -CLERK O C :A' ' , Y,FLOR D Aptiop 41111- By: —wow- �. Attest a$t>I IL'6RK ' . L. McDaniel,Jr., sjl� tl�re only.: Chairman Approov7 C�-"-"tor. orm rid legality: Jennifer A.Belpe Z Assistant County Attorney 4,$ 4q • INSTR 5664139 OR 5592 PG 2790 RECORDED 1/25/2019 10:14 AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA REC$10.00 Prepared by:'', Susan Golden Collier County Community and Human Services 3339 E.Tamiami Trail 1 6 £ 9 Naples,FL 34112 7 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 Sarah J. Beaumont, a single woman to COLLIER COUNTY, dated 05/15/2008 and recorded on 05/19/2008 in Official Records Book 4361 Page 2034 of the Public Records of Collier County, Florida, securing a principal sum of $24,750.00 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. This Satisfaction of Mortgage was approved by th Board of County Commissioners on i-)(&...„, 2019, Agenda Item Number ' q . ATTEST: BOARD OF '00 TY CO ISSIO ERS CR - AL K.KIN , GLERK • CI • :`' TY, FLO D oilltio AIL A i'St as to 9:6. i CLERK / W. L. McDaniel,Jr., signature Only. Chairman Approval for form and legality: ► (7 �4 JerErrlfer A. Belpe�Q�, 01' cb\ Assistant County Attorney IC)' \\ �~ f Y.E INSTR 5664140 OR 5592 PG 2791 RECORDED 1/25/2019 10:14 AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA REC$10.00 Prepared by: Susan Golden Collier County Community and Human Services 16 D 9 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 Kim L. Shimer, A Single Person to COLLIER COUNTY, dated 12/3/2004 and recorded on 12/09/2004 in Official Records Book 3693 Page 2181 of the Public Records of Collier County, Florida, securing a principal sum of$10,000.00 of SHIP and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges 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. This Satisfaction of Mortgage was approved by the Board of County Commissioners on - �h�,�,t�_ .F , 2019, Agenda Item Number I t, , ATTEST: BOARD OF ' �� f k MISSIONERS ,' CRY AL K. KIN2 , CLERK OWL ' ' 0.0 4) • • D 11111 By: ...1 +. es as,%bilklifititkkRK , W. L. McDaniel,Jr., signature only. Chairman Approval for form and legality: 0.56 Jennifer A. Belp \� Assistant County Attorney �`\�