Backup Documents 02/25/2020 Item #16A 7 1 6 A 7
2�15 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office KLN 011420
4. BCC Office Board of County ',S 3 ,y ao
Commissioners J K S
5. Minutes and Records Clerk of Court's Office 3)q(,i?o 3: ?3P,►'N
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 Dana Rarey-Code Enforcement Phone Number 252-2436
Contact/ Department
Agenda Date Item was 02/25/20 Agenda Item Number 16A1-
Approved by the BCC
Type of Document (1)partial release and satisfaction of lien Number of Original 1
Attached UNANINaiVeZ6 Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column Yes N/A(Not
appropriate.tho , (Initial) Applicable)�
1. Does the document require the chairman's original signature? ,� i4c I1��
2. Does the document need to be sent to another agency for addi 'onal signature 9 "yes, N/A
provide the Contact Information(Name;Agency;Address;Phon- • an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman,with the exception of most letters,must be reviewed and signed KLN
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
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 KLN
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 ond•,25olinter date)and all changes made
during the meeting have been incorporated in the attached document. The County opt`
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 LN/ /A is
BCC,all changes directed by the BCC have been made,and the document is ready for the ",,,/ opti
16
Chairman's signature. `
[19-CED-01448/1517665/111: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
1 6 Al
INSTR 5838524 OR 5735 PG 3069
RECORDED 3/5/2020 2.07 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
This Instrument Prepared By: REC$10 00
Kevin L. Noell, Esquire
Collier County Attorney's Office
3299 E. Tamiami Trail-Suite 800
Naples, FL 34112
(239) 252-8400
PARTIAL RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA is the owner and holder of a certain lien against all real and
personal property owned by:
Alfredo Miralles,
Respondent
The lien was recorded on June 23, 2014, in Official Records Book 5051, Page 814, in the Official
Records of Collier County, State of Florida. The lien secures the principal sum of fifteen thousand
one hundred forty-five dollars and twenty cents ($15,145.20), plus accrued interest and penalties,
if any, and imposes certain obligations against real property situated in Collier County, Florida.
THE WEST 112.5 FEET OF THE WEST HALF OF THE NORTHWEST QUARTER OF
THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 5,
TOWNSHIP 47 SOUTH, RANGE 29 EAST, COLLIER COUNTY, FLORIDA.
Site address: 1715 Roberts Ave, Immokalee, FL 34142
Collier County, a political subdivision of the State of Florida, by execution of this Partial Release
and Satisfaction of Lien, acknowledges payment as approved by the Board of County
Commissioners as partial satisfaction of the lien and hereby cancels said lien with respect to the
above-described property only.
The Clerk of the Circuit Court is hereby directed to record this Partial Release and Satisfaction of
Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist
as to 1715 Roberts Ave, Immokalee, FL 34142.
ATTEST BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk COLLIE OUNTY, FLORIDA
y
B Attestas.t L' e! ' rClerk B Chairman
na e
Date: 14onIy.
t Date: p2 '0/ '00
Approved as to form and legality
Kevin Noell
Assistant County Attorney
[19-CED-01448/1517415/1]