Backup Documents 05/25/2021 Item #16D1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP1 b 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. c
**NEW** ROUTING SLIP ILA W 1Q telt
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already cddffnnplete 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 6/8/2021
Services
2. Jennifer Belpedio County Attorney Office
3. BCC Office Board of County
Commissioners ��\
4. Minutes and Records Clerk of Court's Office
(01 ce-.74Avit
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/CHS Phone Number 252-2339
Contact/Department
Agenda Date Item was 05/25/2021 Agenda Item Number 16.D.1
Approved by the BCC
Type of Document SHIP Satisfactions of Mortgage Number of Original
Attached 1)Lopera 2)Marozzi and 3)Rueda& Documents Attached 3
Rivera
PO number or account 791-138791-649030 33686.1
number if document is
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? V tJ LNC
2. Does the document need to be sent to another agency for additional signatures?uIf es, 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 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 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 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 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 05/25/2021 and all changes made during the (`Q ` /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 ` is not
111
BCC,all changes directed by the BCC have been made,and the document is ready for the an tion for
Chairman's signature. • e.
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
1 6 D
INSTR 6076255 OR 5963 PG 1232
RECORDED 6/11/2021 3:53 PM 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 Mario Lopera and Gloria Lopera to COLLIER COUNTY, dated November 12,
2008 and recorded on January 23,2009 in Official Records Book 4422 Pace 1069 of the Public Records
of Collier County, Florida, securing a principal sum of$5,200.00 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 6/267204
Agenda Item Number I la
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLLIE COUNTY, FLORIDA
( Ifg/14-
By: — By:
D F.PkJTY C E PENNY TAYL , CHAIRMAN
Afte,st C%e3 hir
Approval for form and legality:
Jennifer A. Belpedio � alp
Assistant County Attorney
160 1
INSTR 6076256 OR 5963 PG 1233
RECORDED 6/11/2021 3:53 PM 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 Steven H. Marcozzi to COLLIER COUNTY, dated April 28,2006 and recorded
on May 04, 2006 in Official Records Book 4030 Pale 3018 of the Public Records of Collier County,
Florida, securing a principal sum of $18,000.00 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 5/2,5/2O2-,/
Agenda Item Number /(O D f .
ATTEST: ^�n BOARD OF COUNTY COMMISSIONERS
,j'CRYSTAL‘ Onhl 1" ,CLERK OF COLLI C TY, FLORIDA
L344—
By: / By:
• , DEPUTY JCL PENNY TAYL , CHAIRMAN
Attest as to Cliairmaf,s.•
. .;t
signature only.
Approval for form and legality:
r>.�
Jenni A. Belpedio 'p
Assistant County Attorney
9
16D 1
INSTR 60762H5E7 OCIRR 5C9U
OOD 6/11/202163IT:5C3GPMR PTA AG
NEDS C 1O MPTROLLER
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 Justo Rueda and Yaimarelys Rivera to COLLIER COUNTY, dated July 9,2015
and recorded on July 15,2015 in Official Records Book 5174 Page 2623 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/
Agenda Item Number / to lD/ .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K.KI1 Z4, CLERK OF COLLIE COUNTY, FLORIDA
By: M By:
DEPUTY C1E PE Y TAYL , CHAIRMA
Attest as to Chairman's.
signature o ly.�s r,": °.
Approval for form and legality:
•
Jen . Be pedio 9-.\
Assistant County Attorne `(.2 x
or`