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Backup Documents 05/24/2022 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 b D 4 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 Veed,tain$,Va--7 Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is alreadY comPa we exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County AttomOffice. Route to Addressee(s) (List in routing order) Office Initials Date 1. Karina Bardales Community and Human KB 05/19/2022 Services 2. Derek Perry County Attorney Office 0 O e S l LS ZL 3. BCC Office Board of County Commissioners 1/I'1 ;y/3 w 5442 L 4. Minutes and Records Clerk of Court's Office 122cr.o 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 May 24,2022 Agenda Item Number 16.D.4 Approved by the BCC Type of Document SHIP Satisfactions of Mortgage: Lora Number of Original Lora Attached and Quintana-Cobas Documents Attached (Quintana-et-Q.0re e€tej �. PO number or account number if document is 001-155930-369620 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? 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 /A is not the meeting have been incorporated in the attached document. The County V O a.n 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 N/A is not BCC,all changes directed by the BCC have been made, and the document is ready for the an option oj Chairman's signature. V✓ 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 Receipt# 3�1�15 6/1/2022 1:25:59 PM (:r>i, Crystal K. Kinzel gl,--1"Cilt---- Clerk of the Circuit Court and Comptroller ' �w ir co. 0 (\ 7 \/1 0) o) :01 II/�IhJ Customer Deputy Clerk Clerk Office Location CLERK TO THE BOARD/MINS Maritza Orengo Collier County Govt. Center & REC Maritza.Orengo@CollierClerk.com Building LA, 2nd Floor 3299 TAMIAMI TRL E STE 401 (239) 252-2646 3315 Tamiami TrI E Ste 102 NAPLES, FL 34112 Naples, Florida 34112-4901 2 Documents Recorded DOC TYPE INSTRUMENT BOOK PAGE AMOUNT Satisfaction 6260254 6133 3637 $10.00 Satisfaction 6260255 6133 3638 $10.00 TOTAL AMOUNT DUE $20.00 Clerk Account#: BCC ($20.00) BALANCE DUE $0.00 Note: 6/1/2022 1:25:59 PM Maritza Orengo: CHARGE ACCOUNT 001-155930-369620 DEPARTMENT-CHS Disclaimer: All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. ©®[10k; 0g@CM Page 1 of 1 160 INSTR 6260254 OR 6133 PG 3637 RECORDED 6/1/2022 1:25 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 Jose Luis Lora to COLLIER COUNTY, dated June 18th 2004 and recorded on June 24t'' , 2004 in Official Records Book 3594 Page 1706 of the Public Records of Collier County, Florida, securing a principal sum of $2,500.00 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 5/ZV/ZDZ'-, Agenda Item Number 16. D. 171' ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL :'K;I LERK OF COLLIER COUNTY,FLORIDA (.....") 1110 By: By: �,.�.� � , DEPUT II LE WILLI" L. MCDANIEL JR., CHAIRPERSON Attest as to signature only. Approval for form and legality: Derek D. Perry 14r Assistant County Attorney V 160 4 OR 6133 PG 3638 RECORDEDINSTR6260255 6/1/2022 1.25 PM PAGES CLERK OF THE CIRCUIT COURT A 1ND 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 Ibrahin Quintana Boza and Zeida Maria Cobas Cordoves to COLLIER COUNTY, dated January 315t, 2013 and recorded on February 5', 2013 in Official Records Book 4883,Page 167,and dated January 31st,2013 and recorded on June 26t'',2013 in Official Records Book 4937, Page 2508, 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 May 24, 2022, Agenda Item Number 16. D. q . ATTEST: • ''?. BOARD OF COUNTY COMMISSIONERS CRY ST&? K. KINZEL,'' 1,ERK OF COLLIER CO TY, FLORIDA Atierrifir By: 61) AO° —wow- toy T ERK Wilh m L. McDaniel, Jr., Chairperson Attest as to Chairmahs r signature only. Approval for form and legality: fijA/L Derek D. Perry 2 Assistant County Attorney '2 [22-GRC-01349/1714817/1] Page 1 of 1 CAO