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Backup Documents 10/23/2018 Item #16D 3 to/ / i ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI 6 D 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 Initials Date 1. Susan Golden Community and Human 10/16/18 Services 2. Jennifer Belpedio County Attorney Office Gt• 3. BCC Office Board of County Commissioners YkS/5/ <o`Z�\is. 4. Minutes and Records Clerk of Court's Office 1o(241Ie, << 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 Phone Number 252-2336 Contact/ Department Agenda Date Item was 10/23/2018 Agenda Item Number Approved by the BCC Type of Document SHIP Satisfaction of Mortgage(Shipman& Number of Original 2 Attached Vasquez/Trevino) Documents Attached PO number or account Habitat Deposit Acct#H-01500 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. itial) Applicable) 1. Does the document require the chairman's original signature? i f, 2. Does the document need to be sent to another agency for additional silo: n - es, NA provide the Contact Information(Name;Agency;Address;Phone)on an attac ed 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 10/23/2018 and all changes made during the SG meeting have been incorporated in the attached document. The County Attorney's iv 14ptiori for Office has reviewed the changes,if applicable. s line. 9. Initials of attorney verifying that the attached document is the version approved by the A is not BCC,all changes directed by the BCC have been made,and the document is ready for e .+ option for Chairman's signature. ? s line (trp— 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 16D3 � INSTR 5629587 OR 66 PG 54 RECORDED 10/26/201855 9:06 AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA Prepared by: Susan Golden I REC$10.00 Collier County Community and Human Services 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 1Fortino R. Vasquez and Claudia Trevino, Husband and Wife 1 to COLLIER COUNTY, dated 03/29/2001 and recorded on'04/03/2001 lin Official Records Book 2800 Page! 18821 of the Public Records of Collier County, Florida, securing a principal sum of $2,500.00 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 pGsoNcx—>r 'Z3 2018,Agenda Item Numbeii 16:0-3 1. ATTEST: BOARD OF 0 COMM • P 1 S CRYSTAL K. KINZEL, CLERK OF COL R CP 0 ' • By: C l-t- ' ,, ' <2 C_._ , By: , UT 'IRK ANDY SOLIS,CHAIRMAN Attest as thaw a 's Appro a 1, p S .iy!legality: Jennifer A.Belpe(A • Assistant County Attorney �0 1603 INSTR 5629588 OR 5566 PG 55 RECORDED 10/26/2018 9:06 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 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 Latoya Shipman,a single woman to COLLIER COUNTY,dated 03/10/2008 and recorded on 04/08/2008 I in Official Records Book 4347 Page 11614_; of the Public Records of Collier County, Florida, securing a principal sum of [$20,250.00 land 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 "4- 23 2018,Agenda Item Number \67:\--,-5 1. ATTEST: ° 0 BOARD OF 0 COMMI . • +• CRYSTAL K. KINZEL, CLE OF COL R C•I • ii►• By: 0\--LLA. a�\11 C . By: P "U: LEKK ANDY SOLIS,CHAIRMAN Attest as to Ch A�� ,� 'it.and lega ity: Jenni er A.BelpediAlI Assistant County Attorney O \� `� CAO