Backup Documents 09/10/2019 Item #16D12 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 p 12
GIV TO ACCOMPANY
COUNTY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD COMMISSIONERS OFFICE FOR SIGNATURE
j...93.djjeC
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. JASON RUMMER Community and Human P7:60 09.06.19
• Services
2. Jennifer Belpedio County Attorney Office f
3. BCC Office Board of County l.D I^•k
Commissioners V'S 4/ (=I k\.
4. Minutes and Records Clerk of Court's Office —I—C 0 /ii l 3;
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 informs ion.
Name of Primary Staff JASON RUMMER C Phone Number 252-5505 /
Contact/ Department /
Agenda Date Item was 09.10.2019 Agenda Item Number 16.D.12„
Approved by the BCC
...-7Type of Document Satisfaction of Mortgage / Number of Original 6
Attached / Documents Attached
PO number or account 123-155974-649030-32000.1 v
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..v,,„ ,n nK NA
2. Does the document need to be sent to another agency for additional signaturea 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 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
si:nature 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 BC-E-054412019-and all changes made during the is not
meeting have been incorporated in the attached docup ent. The County Attorney's in option foj
Office has reviewed the changes,if applicable. 9% /I b i '' line.
9. Initials of attorney verifying that the attached document is the version approved by the a N/. is nol
BCC,all changes directed by the BCC have been made,and the document is ready for the an .ption fol
Chairman's signature. t is line.
,,,...—...\-\\(
4..„/N,
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
16f112
INSTR 5765085 OR 5673 PG 1728
RECORDED 9/13/2019 8:59 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Jason Rummer
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 !Felipe T.Martinez,A Single Person and Marcella Robles,A Single Person!to
COLLIER COUNTY,dated September 15,2000 and recorded on September 19,2000 in Official Records
Book 2723 Page 0913 of the Public Records of Collier County, Florida, securing a principal sum of
$5,000.00 and certain promises and obligations set forth in said Mortgage, upon the property described in
the aforementioned mortgage.
[COLLIER COUNTY hereby acknowledges full payment 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 September 10,
2019,Agenda Item Number
`a ,......., 4;, SIGNERS
ATTE ':•' BOARD OF CK:KIN2' L•.cERK OFC `LLL CO,•• )'T FLORI •
D
I "n t t C��✓" 0110,410
>I est as DR/A tiro 'CLERK 'WILL M L.MCD ,j--7, 1 a... AN
SiOure•onl
Approval fdri 'rttl J legality:
Jennifer A.Belpediik
,
Assistant County Att .ey �� ��
•■
��J
1. in i 2
INSTR 5765086 OR 5673 PG 1729
RECORDED 9/13/2019 8:59 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Jason Rummer
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 !Iris Parker, a single woman j COLLIER COUNTY, dated July 11, 2008 and
recorded on July 17,2008 in Official Records Book 4379 Page 0789 of the Public Records of Collier
County, Florida, securing a principal sum of$24,000.00 and certain promises and obligations set forth in
said Mortgage,upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges full payment 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 September 10,
2019,Agenda Item Number ` �)\Z!
'ATTEST: ' BOARDF Si TY COM 1 SIO
CR At K..KINZ CLERK N • .( Y,FLORI ►A I
ky:
myyTY C4,ERK / LIAM L.MCDANIEL,JR.,C' •IRMAN
est- to. Raman s
slgnature. tty.
A fprovat di{`oim and legality: C (�
Je fer A.Belped �tR,
Assistant County Attorney (6
INSTR 5765087 OR 5673 PG 1730
RECORDED 9/13/2019 8:59 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:!Jason Rummer l 0 1
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 Michael P.Hernandez,a single person l COLLIER COUNTY, dated September
28, 2012 and recorded on October 3, 2012 in Official Records Book 4841 Page 2803 of the Public
Records of Collier County, Florida, securing a principal sum of $20,000.00 and certain promises and
obligations set forth in said Mortgage,upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges full payment 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 September 10,
2019,Agenda Item Number , l)
ATTEST:. '; BOARD 0 Y CO i . IONE'
CR TAL K.KIN ,CLERK OF 0 ,,4 ,FLORID
w 4010
By: l���►�•
,610!..;4ai( RK WI TAM L.MCDANIEL,JR.,C Ks AN
,g est asi
signetureQn =.
Approval for form and legality:
ler A.BelpedAkr
Assistant County Attorney 4 �\
INSTR 5765088 OR 5673 PG 1731
RECORDED 9/13/2019 8:59 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:[Jason Rummer
Collier County 1 6 D 12
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 TAMIANII TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by t1Vlaylin Ortiz Gonzalez,a single woman I COLLIER COUNTY,dated December
22,2011 and recorded on December 27,2011 in Official Records Book 4749 Page 3286 of the Public
Records of Collier County, Florida, securing a principal sum of $3,300.00 and certain promises and
obligations set forth in said Mortgage,upon the property described in the aforementioned mortgage.
f COLLIER COUNTY hereby acknowledges full payment 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 September 10,
2019,Agenda Item Number 1..V\
ATTEST: BOARD OF Ct il. C• ' SSIONERS
'eft TAL K.KINZ - CLERK (Wee; • lI T ,FLORI b •
lib y: C. f Al°
at �"11
•"r RK WI AM L.M � L, .,C't' AN
a ;►
signature only.
Approval for form and legality: 517
J11. N�
Je'r' er A. Belpedi a -,��
Assistant County Atte ey 4\`'
C
O
INSTR 5765089 OR 5673 PG 1732
RECORDED 9/13/2019 8:59 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:'Jason Rummer'
Collier County 1 6 D 12
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 TAMIAM1 TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by 1Graciela Rodriguez,a single womanj COLLIER COUNTY, dated January 11,
2001 and recorded on January 16,2001 in Official Records Book 2765 Page 1863 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 full payment 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 s w approved by the Board of County Commissioners on September 10,
2019,Agenda Item Number \b CD ')----*/
�,favv0
•. '
AT tEST::-' • °"t ' lei BOARD OF C.4009' e 'u SIONERS
CR TAS...K.KIN7 ,CLERK OF LLI • 4 ,FLO' ID
IttWIs By:
L G L.MC `" ,C N
, `" a�: t aS��►� ,.. ERIC /
Siftkite 0'W
Approval for form and legality:
` mac
Jen A.Belpedio \��
Assistant County Attorney 4\
INSTR 5765090 OR 5673 PG 1733
RECORDED 9/13/2019 8:59 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Mason Rummer' 1 6 012
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 Jaime&Juana Morales a Husband and Wife COLLIER COUNTY,dated June,
2002 and recorded on July 8,2002 in Official Records Book 3067 Page 1741 of the Public Records of
Collier County, Florida, securing a principal sum of$5,000.00 and certain promises and obligations set
forth in said Mortgage,upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges full payment 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 September 10,
2019,Agenda Item Number \ S)\\/
n� • BOARD O CeA Y CO fONERS
ce' CRcAL K.:I JNZ CLERK OF�: '� ,FLORID• 040
. By:
'UTY CLERK WI/ IAM L.MCDANIEL,JR,CH• e •
Attest as 10 ',airman's
Approva or forum nd legality:
Jenner A.Belpediek N
Assistant County Attorley