Backup Documents 01/22/2019 Item #16D10 401q� ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 1 n
w t\a6 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. Elizabeth Hernandez Community and Human
Services/GCU 4 ///7// 1 q
2. County Attorney Office County Attorney Office
t/a3 j1 7
3. BCC Office Board of County bJ -k--Nk
Commissioners V67' 1\a'*Vck
4. Minutes and Records Clerk of Court's Officey ` )°14
)161
P` fes 3 •� n
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 Elizabeth Hernand CHS Phone Number 252-2903
Contact/ Department
Agenda Date Item was 01/22/2019 Agenda Item Number
Approved by the BCC �� ` � v
^
Type of Document Satisfaction of Mortgage(1) Number of Original 1
Attached Documents Attached
PO number or account Please use the 705-138705-649030-33580.1
number if document is account string for recording: ABLE
to be recorded Academy
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,which Yes N/A(Not
appropriate. r'` (Initis Applicable)
1. Does the document require the chairman's original signature? 54.4,6,v, 0 V/(
2. Does the document need to be sent to another agency for addit nal signatures? If yes, NA
provide the Contact Information(Name;Agency;Address;Phone n an-attached sheet.
3. 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.
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
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 /
signature and initials are required. e,-y
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 on 01/22/2019 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. / ,
9. Initials of attorney verifying that the attached document is the version approved by the '�
BCC,all changes directed by the BCC have been made,and the document is ready for t
Chairman's signature.
(AC/
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 5664112 OR 5592 PG 2735
RECORDED 1/25/2019 9:48 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:i Elizabeth Hernande COLLIER COUNTY FLORIDA
REC$10.00
Collier County
Community and Human Services
3339 E.Tamiami Trail i 6 D l 0
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 'ABLE Academy,Inc to COLLIER COUNTY, dated 08/02/2013 and recorded on
99/06/2013 in Official Records Book 4962 Page 2296 of the Public Records of Collier County, Florida,
having complied with housing obligations associated with the $515,000.00 of CDBG funds 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 the Board of County Commissioners on -
J 7.2. ,2019,Agenda Item Number 16 D a
ATTEST: BOARD OF CO. Oki _•MMISSIONERS
CR "TALK. KIN L CLERK OF COLLI ' a TY,FLS ' DAA
B • � By: i c r_ __
P 4' TY CLERK W cDaniel,
r ►hest as • Pi • clan s
A,,�,� Ch.firman
Apprna�tY�g i�i'd[i artd legality:
Jennifer A. Be edio Q7
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Assistant County Attorney \�r1
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