Backup Documents 01/25/2022 Item #16D3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIT 6 3
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 1/24/2022
Services
2. Jennifer Belpedio County Attorney Office D-C4i)> l as
3. BCC Office Board of County (,J,M. TJ
Commissioners M /V //a-1/e &
4. Minutes and Records Clerk of Court's Office `
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/Dept trnent
Agenda Date Item was 01/25/2022 I/ Agenda Item Number 16.D.3 ✓
Approved by the BCC
Type of Document SHIP Satisfactions of Mortgage Number of Original
Attached 1)Mayra Luis Almelo and 2)Ioselt L.Terga Documents Attached 2
PO number or account 791-138791-649030 33686.1 v
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? S ,.� n 0 K. -kW N/A
2. Does the document need to be sent to another agency for additional signatures? kf yes, 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 rt
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 V"
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8.* The document was approved by the BCC 01/25/2022 and all changes made during the i?j N/A is not
meeting have been incorporated in the attached document. The County Attorney's D, 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 N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the an 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
1603
INSTR 6196998 OR 6077 PG 624
RECORDED 1/28/2022 3:32 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by Karina Bardales 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 Ioselt L.Terga to COLLIER COUNTY, dated August 30th,2013 and recorded
on September 16th 2013 in Official Records Book 4965 Page 2425 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 2 1 1 5/2022.
Agenda Item Number 16.D.3
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL. KINZF�i , CLERK OF COLLIER COUNTY, FLORIDA
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adsv a Z &u.
By: rt B• y:
r • ERK
\�c Willi. L. McDaniel, Jr., Chairman
Attestn as��to mian1
Approval 'oErrrorm and legality:
Jen er A. Belpedi
Assistant County Att eykit
\v
1603
INSTR 6196999 OR 6077 PG 625
RECORDED 1/28/2022 3:32 PM PAGES 1
Prepared by Karina Bardales CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Collier County COLLIER COUNTY FLORIDA
Community and Human Services REC$10.00
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 Mayra Luis Almelo to COLLIER COUNTY, dated October 15th , 2010 and
recorded on October 19th, 2010 in Official Records Book 4615 Page 3434 of the Public Records of
Collier County, Florida, securing a principal sum of$3,960.00 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 II 2.5/2°17,
Agenda Item Number 16. D. 3
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLLIER COUNTY, FLORIDA
1 V 6,,e)
C.
By; 4�1e. By:
*1-41:1
44 LERK
est as n'S
Slgn7th�rn William L. McDaniel, Jr., unairman
Approval for form and legality:
Jen fer A. Belpedio O- t9\
Assistant County Atto ey ,..
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