Backup Documents 02/09/2021 Item #16D1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP! 6 D 1
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. Lisa N. Carr Community and Human LNC 2/8/2021
Services
2. County Attorney Office County Attorney Office Zae a I I a
3. BCC Office Board of County b
Commissioners ` - ��
4. Minutes and Records Clerk of Court's Office
pes a-tia 1'1 1 Tat1:r--
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 February 99 2021 Agenda Item Number 16.D 1
Approved by the BCC
Type of Document Recommendation to approve and authorized Number of Original 2
Attached the Chairman to sign three(2)mortgage Documents Attached
satisfactions for the SHIP loan program....
PO number or account
number if document is 791-138791-649030-33613.1
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?ciNcld LC 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 final 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!
8. The document was approved by the BCC on 2/9/2021 and all changes made during t
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the is not
BCC,all changes directed by the BCC have been made, and the document is ready for th option for
Chairman's signature. this line.
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
_ -I- 01
INSTR 6001584 OR 5892 PG 703
RECORDED 2/15/2021 9:50 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:Maria Aldana 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 John Fox to COLLIER COUNTY,dated June 13,2014 and recorded on June 20,
2014 in Official Records Book 5050 Page 444 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.
ICOLLIER 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 cl/24 24 ,
Agenda Item Number /(o D/
ATTEST: ' ,1,11 BOARD OF OUNTY COMMISSIONERS
CRYSTAL K.-KIST,Mtp CLERK OF COLLI TY, FLORID
By: &U..4A By:
fu
e.Ar. ° , ',! g ;.ERK PE TAYL , CHAIRPE ON
Approval for form and legality:
A I 037 rah
Jenni e�/r A. Belpe' 'c-
�`
Assistant Countyrney \��
t-
i 6D1
INSTR 6001576 OR 5892 PG 669
RECORDED 2/15/2021 9:48 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 Maria V. Escobar Guevara to COLLIER COUNTY, dated May 20, 2011 and
recorded on May 25, 2011 in Official Records Book 4685 Pa2e 2506 of the Public Records of Collier
County, Florida, securing a principal sum of$3,000.00 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 Z/ <p
/1414 ,
Agenda Item Number
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLL R UNTY,FLORIDA
By: &AAA :,•LOC .. By:
,E. 4 Y-4 RK PE TA , CHAIRP SON
Attest as ,
signature only..
Approval for form and legality:
Jen . elpedio
Assistant County Attorney