Backup Documents 04/26/2022 Item #16A 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 b A 6
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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office CAK/rev 4/20/22
4. BCC Office Board of County
Commissioners W/I br(3 )5( Lilz4z 2
5. Minutes and Records Clerk of Court's Office I / Q t�
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 Michael Ossorio Phone Number 252-2440
Contact/ Department
Agenda Date Item was 4/26/22 Agenda Item Number i
Approved by the BCC
Type of Document Alfredo Miralles Sr. -Releases& Number of Original
Attached Satisfaction of Lien Documents Attached
PO number or account 111-13 8911-64903 0
number if document is
to be recorded 412,- %Lig
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? No/CAK/rev
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 CAK/rev
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 CAK/rev
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's CAK/rev
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 4/26/22 and all changes made during the CAK/rev I/•` 'i o
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes,if applicable. rfo
9. Initials of attorney verifying that the attached document is the version approved by the CAK/rev }t'�o
BCC,all changes directed by the BCC have been made,and the document is ready for the woo
Chairman s signature. "or
I:Forms/County Forms/BCC Forms/Original Documents I evised 1.26.05,Revised 2.24.05;Revised 11/30/12
l6A6
This Instrument Prepared By: INSTR 6245675 OR 6120 PG 3744
Colleen A. Kerins, Esquire
Collier CountyAttorney's Office RECORDEDERKOFHE CIRCUIT 1 IT8 O PAGESN 1
Y CLERK OF THE COURT AND COMPTROLLER
3299 E. Tamiami Trail-Suite 800 COLLIER COUNTY FLORIDA
Naples, FL 34112 REC$10.00
(239) 252-8400
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA is the owner and holder of a certain lien against all real and
personal property owned by:
Alfredo Miralles, Sr.,
Respondent
The lien was recorded on May 3, 2007, in Official Records Book 4223, Page 1484, in the Official
Records of Collier County, State of Florida. The lien secures the principal sum of one thousand
two hundred eleven dollars and forty-nine cents ($1,211.49), plus accrued interest and penalties,
if any, and imposes certain obligations against real property situated in Collier County, Florida.
Collier County, a political subdivision of the State of Florida, by execution of this Release and
Satisfaction of Lien, acknowledges payment as approved by the Board of County Commissioners
as satisfaction of the lien and hereby cancels and releases said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction of Lien in
the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist.
ATTEST BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk COLLIER COU► BA
By:
C i 1111"
Attest 0 tritaPty Clerk Willia► L. McDaniel, Jr., Chairperson
Date: att°nly.:
Date: 4174 ZZ
Approved as to form and legality
olleen A. Kerins
Assistant County Attorney
[22-CED-01642/1705258/1]