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Backup Documents 03/12/2019 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i 6 Q , 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. p , **NEW** ROUTING SLIP �e.a)fC,i tilt Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is-Area y 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. Jason Rummer Community and Human jiir 02.20.2019 Services 2. Jennifer Belpedio County Attorney Office ,aug 3 ) s�l� 3. BCC Office Board of County WZ--1-\�c_.), Commissioners Ni-i•S/5/ S\VNA 4. Minutes and Records Clerk of Court's Office flAi 3I 29 14 4225P1( 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 Jason Rummer/CHS Phone Number 252-5505 Contact/ Department Agenda Date Item was 03/12/2019 Agenda Item Number 16-D Z / Approved by the BCC Type of Document 4 SHIP Satisfactions of Mortgages for Number of Original 4 Attached execution and recording. Documents Attached PO number or account 123-155974-649030-32001.1 number if document is 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. (Initial) Applicable) 1. Does the document require the chairman's original signature? 54"Cone 3 K4,/ jnr 2. Does the document need to be sent to another agency for additio signatures? If y , NA provide the Contact Information(Name;Agency;Address;Phone)on sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be jnr 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 jnr 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 jnr 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 on 03/12/2019 and all changes made A is not during the meeting have been incorporated in the attached document. The County ? option for Attorney's Office has reviewed the changes,if applicable. is line. 9. Initials of attorney verifying that the attached document is the version approved by the \\N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for t 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 5693566 OR 5614 PG 3459 RECORDED 4/4/2019 9:32 AM 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 � ,[ (1l! 3339 E.Tamiami Trail 2 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 'Irette Augustin, A Single Person to COLLIER COUNTY, dated 10/2/2008 and recorded on 11/03/2008 in Official Records Book 4405 Page 0489 of the Public Records of Collier County, Florida, securing a principal sum of$3,000.00 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 - rAcu Cly I , 2019, Agenda Item Number t (O b a ATTEST: BOA;R�D.I F 010 0 TY CO SSIO 'S CRYSTAL K. KINZEL, CLTiRK OFe '4 'I o Y,FLOR 1 • Adb By: ! L UL ys By: .11111 AIIPPP' Attest as to C L %illiam L. McDaniel,Jr. o rli; • Chairman •ApprovaYfor dorm and.iegality: J'fer A. Belpedio \0\ Assistant County Atto '}j INSTR 5693567 OR 5614 PG 3460 RECORDED 4/4/2019 9:32 AM 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 3339 E.Tamiami Trail 160 2 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 Jose R. Portillo and Rhina E. Diaz,a married couple to COLLIER COUNTY, dated 08/18/2011 and recorded on 08/29/2011 in Official Records Book 4714 Page 531 of the Public Records of Collier County,Florida,securing a principal sum of$4,500.00 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 - rinct cik l a 2019, Agenda Item Number 16 D a► ATTEST: BOARD OF C• CO. SSIONERS CRYSTAL K. KINZEL,CLERK OF L I • •:ok T ,FLORI b • B By: _new- tw ,DEPUTY CLERICS Wi1am L. McDaniel,Jr. Attest asgto Chairman's a Chairman Apl}rovva �fo�fofm and legality: Jennifer A. Belpedio c;)993), Assistant County Atto INSTR 5693568 OR 5614 PG 3461 RECORDED 4/4/2019 9:32 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 0 2 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 Katherine Lopez and Donald Saintervil,Both Single to COLLIER COUNTY, dated 03/17/2008 and recorded on 03/24/2008 in Official Records Book 4341 Page 0816 of the Public Records of Collier County, Florida, securing a principal sum of $32,100.00 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 - Yt OAC , I , 2019, Agenda Item Number 1G ATTEST: BOARD OF •9i TY CO vt , SSIONERS CRYSTAL K. .INZEL,'CT ERK 0. • a. ••.P TY,FLORIDA/ " �•o, By: a _ • 4 -•.. By: ��' est1Iliam L. McDaniel,Jr. Att ;astcl� � ` ' Chairman signature only:. _ I Approval for forii and lega ICU; % 0\ Jennifer A. Belped% 037 r"))` Assistant County Attorney INSTR 5693569 OR 5614 PG 3462 RECORDED 4/4/2019 9:32 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 160 3339 E.Tamiami Trail Naples,FL 34112 THIS SPACE FOR RECORDING RELEASE 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 Edward Slasienski,A Single Person to COLLIER COUNTY, dated 10/5/2018 and recorded on 10/09/2018 in Official Records Book 5560 Page 3320 of the Public Records of Collier County, Florida, securing a principal sum of$55,000.00 of SHIP and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges release of said Mortgage,and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. The Mortgage is being released because the principal sum of$55,000 was not received by Edward Slasienski. This Satisfaction of Mortgage was approved by the Board of County Commissioners on - ')a..t_cJL. I , 2019, Agenda Item Number ((a D . ATTEST: BOARD OF �fl ! MISSIONERS CRYSTAL K. KINZEL, CLE'K C L • 0 TY,FL► •ID �� B By: ,DEPUTY,C ,E•r / William L. McDaniel,Jr. ` Chairman Approval for form.and legal # . ON Jennier A. Belpedio (17` Assistant County Attorney 2-