Backup Documents 10/12/2021 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO i D 5
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. Karina Bardales Community and Human t<g 09/30//2021
Services
2. Jennifer Belpedio County Attorney Office Dc G ,la la C
3. BCC Office Board of County �J k
Commissioners
4. Minutes and Records Clerk of Court's Office
‘0-tiva1
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 Karina Bardales,Grants Support Phone Number 239-252-2338
Contact/ Department Specialist/CHS Div
Agenda Date Item was October 12,2021 Agenda Item Number 16.D. 5
Approved by the BCC
Type of Document SHIP Satisfactions of Mortgage,Prussien Number of Original 2
Attached and McEndree Documents Attached
PO number or account
number if document is 791-138791-649030-33686.1
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? O K I
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 KB
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 KB
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 KB
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 KB N/A is not
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 KB /A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the ,�� �j 'option for
Chairman's signature. this line.
** Please e-mail a recorded copy to karina.bardales@colliercountyfl.gov**
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
16D5
INSTR 6144337 OR 6027 PG 3209
RECORDED 10/18/2021 9:04 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER '
COLLIER COUNTY FLORIDA
Prepared by:Karina Bardalcs REC$10.00
' Collier County
Community and Human Services
3339 E.Tamiami Trail
Naples,FL 34112
Ti IIS 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 Lindsey A.Mc Endree to COLLIER COUNTY,dated 10/01/2008 and recorded on
10/21/2008 in Official Records Book 4402 Page 1451 of the Public Records of Collier County, Florida,
having met the affordability housing obligation associated with the$35,250.00 of SHIP funds 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 b ( I Z- I ZO 2-I ,2021,Agenda Item Number 1 co. b• 5.
A '1'. ► , ' ,• BOARD O CO TY COMMISSIONERS
C t C . . ` ►" . ' F,RK OF COLT E TY FLO
at
B . ..r' ' '=-%itf'T'71':�_1_.4 411 By:
•''` • `"" ' :54' TY CLERK P NNY TAY ,CHAIRPERSON
allitini& re !a.
as
Approval for form and legality:
-)&
CA a�j
Jen i A.Belpedio , C‘\
Assistant County Attorne .ey 0,�
i
INSTR 6144338 OR 6027 PG 3210
RECORDED 10/18/2021 9:04 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 Carnicien Prussien and Anne Prussien to COLLIER COUNTY, dated March 5,
2009 and recorded on April 8,2009 in Official Records Book 4442 Pace 0553 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 I O ( I 212.02-I
Agenda Item Number 16.D. Jr .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL h,LII�#ZE CLERK OF COLLIER COUNTY, FLORIDA
Cc
•
By: 1 ' .aLkCPC" By:
..-4 47 'D '��' t j RK P AY R, CHAIR SON
Attattasto Is"
signatur enIY. -.
Approval for form and legality:
Jennifer A. Bel edio
P Cam, `a
Assistant County Attorney--) C a`x
O��