Backup Document 06/14/2022 Item #16D3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 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. Karina Bardales Community and Human KB 06/14/2022
Services
2. Derek D. Perry County Attorney Office I✓v,alp' 6 17z 2
3. BCC Office Board of County ff I /
Commissioners /iP2A1 (//7/z Z
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 June 14,2022 Agenda Item Number 16.D.3
Approved by the BCC
Type of Document SHIP Satisfactions of Mortgage: Habitat Number of Original 3
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? 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 6/14/2022 and all changes made during 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 �/� N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the Dv!Po 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
1603
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Tuesday,July 5, 2022 1:17 PM
To: 'BardalesKarina'
Subject: Recorded SHIP Satisfactions of Mortgage (06/14/2022 Item #16D3)
Attachments: Backup Document 06_14_2022 Item #16D3.pdf
Hi Karina,
Please see the attached for your records.
**receipt included**
Thank you!
Ann Jennejotin
13MR Senior Deputy Clerk II
'17 tit R, Clerk to the Value Adjustment Board
4. d `
Office: 239-252-8406
Fax: 239-252-8408 (if applicable)
•
Ann.Jennejohn@CollierClerk.covvt
Office of the Clerk of the Circuit Court
fE`K'\fi.1\ & Comptroller of Collier County
3299 Tavv►iawi Trail, Suite #401
Naples, FL 34112-5324
www.CollierClerk.cow
i
INSTR 6273231 OR 6144 PG 2806
RECORDED 6/23'2022 9:38 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
March 19th ,2022 and recorded on March 21st 2022 in Official Records Book 6100 Page 146 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 61/V/�OZZ ,
Agenda Item Number 16. D.3
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSIOAKILKEL, CLERK OF COLLIER CO I TY, FLORIDA
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10.k . i:.-.:AlBy:
pl St _wr �`i iv
i ERK WILLI'/ L. MCDANIEL JR., CHAIRPERSON
sigfaitimior
A royal for f and legality:
7
Derek D. Perry (�
Assistant County Attorney
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------------
_6 D 3
::ETRRK6273232pR 6144 PG2807
CORDED 6/23/20229:38AM PAGES1 OF THE CIRCUIT COURTAND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by Karina Bardales
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 Habitat for Humanity of Collier County, Inc. to COLLIER COUNTY, dated
March 19th,2022, and recorded on March 21st 2022 in Official Records Book 6100 Page 169 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 6/4/2O
Agenda Item Number 16. D.3
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSZEL, CLERK OF COLLIER C(3 ,1 TY, FLORIDA
tt i ,• A API/ AB- O."
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By: (- )
•
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ttest • • • an: WILLIA.� L.MCDANIEL JR., CHAIRPERSON
40,100Y-
fA val for form r)legality:
ek D. Perry f<1" pip
Assistant County Attorney
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1603
INSTR 6273233 OR 6144 PG 2808
RECORDED 6/23/2022 9:38 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by Karina Bardales 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 Habitat for Humanity of Collier County, Inc. to COLLIER COUNTY, dated
March 19th ,2022 and recorded on March 21st 2022 in Official Records Book 6100 Page 111 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 (i//V/LUz�
Agenda Item Number 16. D. 3
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLLIER CO I TY, FLORIDA
(••1-). 11/
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B'Y: �r_ �.
F`i:�l LERK
test ; 1 14`,; WILLI•/ L. MCDANIEL JR., CHAIRPERSON
11 ure.o0ti "
pr val for form and 1 lity:
Derek D. Perry
Assistant County Attorne
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CAO