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Backup Documents 04/12/2022 Item #16D2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 O 2 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 ((�� 'Ta `�-�6 lo�� Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document(y�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 KB 04/08/2022 Services 2. Jennifer Belpedio County Attorney Office J�k`f 9/I2 2, 3. BCC Office Board of County 1 Commissioners 1,✓/11 II5/ y/IZ'Zz 4. Minutes and Records Clerk of Court's Office %e 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 April 12,2022 ✓ Agenda Item Number 16.D.2 ✓ Approved by the BCC Type of Document SHIP Satisfactions of Mortgage: Faustin Number of Original 2 Attached and Johnston ✓ Documents Attached PO number or account number if document is 791-138791-649030-33759.1 (Faustin) to be recorded 001-155930-369620 (Johnston) 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? ek- 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 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 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. ** 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 62 Ann P. Jennejohn From: Ann P.Jennejohn Sent: Thursday,April 28, 2022 4:57 PM To: 'BardalesKarina' Subject: Item #16D2 (4-12-22 BCC Meeting) Attachments: SHIP Satisfaction of Mortgage-Recording (Item #16D2 4-12-22 BCC Meeting).pdf Hi Karina, Please see the attached For your records. Receipts included. Ann Jennejohn 13MR Senior Deputy Clerk II ur,,, Clerk to the Value Adjustwtevtt Board Office: 239-252-8406 Fax: 239-252-8408 (if applicable) Ann.Jennejohn@CollierClerk.cow ,mac^ Office of the Clerk of the Circuit Court '` Sr Comptroller of Collier County 32qq Tawiavvti Trail, Suite #401 Naples, FL 34112-5324 www.CollierClerk.covvt i INSTR 6238725 OR 6114 PG 3198 z 6 D 2 RECORDED 4/21/2022 11:22 AM 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 Brooke A.Johnston and Isrreal Arvizu,Jr. to COLLIER COUNTY,dated June 22°d, 2016 and recorded on July 11th, 2016 in Official Records Book 5292 Page 1651 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 onO`///2-/ZOZZ, Agenda Item Number 16.D.t ?s` o`<+ tr',r e: Jam} e "c~ 3 --: , BOARD OF COUNTY COMMISSIONERS P ', t: ST K. KINZEL, CLERK OF COLLIER COUNTY, FLORIDA AllApo I 6i) , ... OA By: I By: ��- `�r , DEPUTy cj E'i C WILL • L. MCDANIEL JR., CHAIRMAN rA �astG alma 5gnatUTe oftu. Approv.i fir fo an. -•.lity: lifirli OP ,...."(r().- C. my Attorney 0 • INSTR 6238720 OR 6114 PG 3179 16 02 RECORDED 4/21/2022 11:19AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Prepared by Karina Bardales COLLIER COUNTY FLORIDA 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 Fortilis and Morilia A. Faustin to COLLIER COUNTY, dated December 28th, 2004 and recorded on January 20th , 2005 in Official Records Book 3718 Page 2705 of the Public Records of Collier County, Florida, securing a principal sum of $10,000.00 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 0 ci//2_/107 Z, Agenda Item Number 16.D. Z. ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK OF COLLIER COUNTY, FLORIDA • ( e). ot, By: By: CLE WILLI./. L. MCDANIEL JR., CHAIRMAN 'Most a to C 1 d sipatuT yonh1. Approva ': •""1 and lega ity: ' '9.91 ou ', Attorney e\, \')-�