Backup Documents 01/14/2020 Item #16D8 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 O 8
I `� 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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Ini ' s Date
1. Tom Calderon) Community and Human r 1/14/20
Services
2. Jennifer Belpedio County Attorney Office
.0,d6' I 1 ki ,P0
3. BCC Office Board of County
Commissioners Mk:t` JS o�l�
i
4. Minutes and Records Clerk of Court's Office - , I'..a „ a16vilw
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 mis;ing information.
Name of Primary Staff Tom Calderon( Phone Number 252-4220
Contact/ Department
Agenda Date Item was 1/14/2020 Agenda Item Number 16.D.8
Approved by the BCC
Type of Document Satisfaction of Mortgage Number of Original 1
Attached Documents Attached
PO number or account 791-138791-649030-33613.1
number if document is
to be recorded
INSTRUCTIONS & CHECT ---,..,.
Initial the Yes column or mark"N/A" in the Not Applicable colurrywhichever is lies N/A(Not
appropriate. �� (Initial) Applicable)
1. Does the document require the chairman's original signature? S1 D N/A
2. Does the document need to be sent to another agency for additio __ __ ?-Il-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 TC
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 TC
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 TC
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 1/14/20 and all changes made during the TC N/A is not
meeting have been incorporated in the attached document. The County Attorney's an option for
Office has reviewed the changes,if applicable. -�, this 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 the a option for
Chairman's signature. t is line.
I:Forms/County Forms/BCC Forts/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
1608
INSTR 5816449 OR 5717 PG 2565
RECORDED 1/16/2020 2:50 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:Tom Calderon, COLLIER COUNTY FLORIDA
Collier County REC$10.00
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 St.Matthews House,Inc. to COLLIER COUNTY,dated November 29,2002 and
recorded on December 5t}, 2002 in Official Records Book 3168 Page 0193 of the Public Records of
Collier County, Florida, securing a principal sum of$138,000.00 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 J 4nk.ktt rj 1(1)
2020, Agenda Item Number ICO.D •S.
ATT' S•T: �'•. BOARD OF CAC Y CO' SSION RS
CR' OF�OI� .► r• Y, FLORI��A
op
B By: An-
-....poP- ,. AA
'i" as s.iri ,; , ; 5ERK WI' IAM L. MCDANIEL, JR., C 'AIRMAN
signatitemb
Approval for form and legality:
110
!.
Je"Wer A. Belpedio
Assistant County Attornn C\
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ID