Backup Documents 01/12/2021 Item #16D5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i 6 0 5
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. nQu�-•.�^ ;
**NEW** ROUTING SLIP '1c%
Vc9S1
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. Lisa N. Can Community and Human LNC 01/12/2021
Services
2. County Attorney Office County Attorney Office
94)1--L at ?A
3. BCC Office Board of County
Commissioners ni6)
I p �
4. Minutes and Records Clerk of Court's Office
V w lb-9 X?1 8'1"84
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 Lisa N.Carr, Sr. Grant Coordinator, Phone Number 239-252-2339
Contact/ Department Community and Human Services
Agenda Date Item was January 12, 2021 Agenda Item Number 16.D.5
Approved by the BCC
Type of Document Recommendation to approve and Number of Original 1
Attached authorize the chairman to sign one Documents Attached
(1) mortgage satisfaction for the
State Housing Initiatives
Partnership loan program in the
amount of$20,000.00 and the
associated budget amendment
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? No
2. Does the document need to be sent to another agency for additional signatures? If yes, LNC
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 LNC
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 LNC
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 LNC
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's LNC
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip LNC
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! "111111
8. The document was approved by the BCC on 1/12/2021 and all changes made during A s not
the meeting have been incorporated in the attached document. The County 11/4 option for
Attorney's Office has reviewed the changes,if applicable.
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
16D 5
INSTR 5993289 OR 5884 PG 992
RECORDED 2/1/2021 9:18 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Maria Aldana 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 Alvaro Diego Zuluaga and Gloria Elena Orozco to COLLIER COUNTY, dated
August 23, 2013 and recorded on September 7,2013 in Official Records Book 4962 Page 3424 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 I I 11L02 ,
Agenda Item Number k ID 5
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ATTEST: .. BOARD O COUNTY COMMISSIONERS
CRYSTAL K. KINZEL;:g,I;ERK OF COL LINTY, FLORI
By: By:
� DEPUTY ERK 7T
Attest as to Chairman s • Penny Taylor,Chairperson
innh#ure ono!.
Approval for form and legality:
0
Ea°
?or Jennifer A. Belpedio 0' ..\\
Assistant County Attorney Carfr
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