Backup Documents 02/25/2020 Item #16D 6 ) 3C� ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
111r *PC TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 6 D 6
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. Maria Aldana Community &Human Services ,71/79A 1/27/2020
2. Jennifer Belpedio County Attorney Office 9.C4A 2.12.3.12.02.0
3. BCC Office Board of County Commissioners 9 4j
4. Minutes and Record Clerk of Court's Office aU 04;b1/111-‘
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 Maria Aldana,Grant Support Phone Number 239-252-2338
Contact/ Department Specialist- Community and Human
Services
Agenda Date Item was February 25,2020 Agenda Item Number 16.D.6
Approved by the BCC
Type of Document SHIP Satisfaction of Mortgage— Number of Original 2
Attached Wells and Flick Documents Attached
PO number or account
number if document is - Sre-_cs-
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? Si4 010( MA
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 MA
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 N/A
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 MA
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 MA
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 above date and all changes made during MA
the meeting have been incorporated in the attached document. The County 'f
Attorney's Office has reviewed the changes,if applicable. n,�
9. Initials of attorney verifying that the attached document is the version approved by the
�'Yz
BCC,all changes directed by the BCC have been made,and the document is ready for the
Chairman's signature.
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
16D6
INSTR 5836016 OR 5733 PG 1918
RECORDED 3/2/2020 1:30 PM PAGES 1
Prepared by:Lisa N.Carr CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Collier County COLLIER COUNTY FLORIDA
Community and Human Services REC$10.00
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 Laura K.Wells,a single person to COLLIER COUNTY,dated October 18,2012
and recorded on October 19, 2012 in Official Records Book 4847 Page 1007 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 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 02/25/2020,
Agenda Item Number 4 CG,b,
ATTES'T� X - : BOARD OF COUNTY COMMISSIONERS
err L,K. KI LERK OF COLLIE COUNTY, FLORIDA
, . yam
By: c
S
. ..T.Yi l mans BU . SA D ,CHAIRMAN
signature only;,
Approval for form .nd legality:
11.11.
Jenn er A. Belpedi. J �.
Assistant County Att. ey 7,
( (. ,!
1606
INSTR 5836017 OR 5733 PG 1919
RECORDED 3/2/2020 1:30 PM PAGES 1
Prepared by:Lisa N.Carr CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Collier County COLLIER COUNTY FLORIDA
Community and Human Services REC$10.00
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 Alison E.Flick,a single person to COLLIER COUNTY,dated December 7,2006
and recorded on December 27,2006 in Official Records Book 4159 Page 1828 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 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 02/25/2020,
Agenda Item Number 1(0,.D_ .
.. .,,• ",
ATTST.r, ." BOARD OF OUNTY COMMISSIONERS
CRY. L K.KIN , •
taRK :C0w
:
, : za .I?,FIRTd. 'CLERK
,�te5�as to Chattlt>�l% BURT L. SAUNDERS, CHAIRMAN
Appniauut
qi for form and legality:
114. Arti�
Jenn' Belped•,. cNO-912
i
Assistant County Atto
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