Backup Document 02/22/2022 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 2
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 Vaete •
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is alre om ete wilii 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 KB 02/18/2022
Services
2. Jennifer Belpedio County Attorney Office Z1 Z2 �
3. BCC Office Board of County
Commissioners WI? by/16[4 2/VI/ZZ
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 Karina Bardales,Grants Support Phone Number 239-252-2338
Contact/ Department Specialist/CHS Division
Agenda Date Item was February 22,2022 Agenda Item Number 16.D.2
Approved by the BCC
Type of Document SHIP Satisfactions of Mortgage: Habitat Number of Original 1
Attached for Humanity of Collier County,Inc. Documents Attached
PO number or account
number if document is 791-138791-649030-33759.1
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? w•-f v KB
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 .��((Ip an option for
Attorney's Office has reviewed the changes,if applicable. c�"'l this line.
9. Initials of attorney verifying that the attached document is the version approved by the KB N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the (Z an option for
Chairman's signature. ANN
** 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
1 6 D 2
INSTR 6211462 OR 6089 PG 3981
RECORDED 2/28/2022 10:39 AM 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 Habitat for Humanity of Collier County, Inc. to COLLIER COUNTY, dated
November 8th ,2021 and recorded on November 8th 2021 in Official Records Book 6038 Page 3897 of
the Public Records of Collier County, Florida, securing a principal sum of$50,000.00 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 02/22-4022;;
Agenda Item Number 16.D. 2-
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLLIER COUNTY, FLORIDA
►i: (.N ,,r_ '
By-- .W21W4 . By: _...�--
E UTI; CL '* WILLIA►� L. MCDANIEL JR., CHAIRPERSON
Attest as to Carman I
signature only.
Approval for form and legality:
Jenne A. BelP edio
Assistant County Attorney
01.
ilLe
CAD