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Backup Document 06/14/2022 Item #16D5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i 6 Li 5- 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 06/09/2022 Services _ 2. Derek Perry County Attorney Office UOPir 6//7/Z2 3. BCC Office Board of County Commissioners I✓M riots,/ 4. Minutes and Records Clerk of Court's Office Y 1 rta ttrASFAII 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/ Depaittnent Specialist/CHS Division Agenda Date Item was June 14,2022 Agenda Item Number 16.D.5 Approved by the BCC Type of Document SHIP Satisfactions of Mortgage: Miller Number of Original 2 Attached and Rodriguez-Casas Documents Attached 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 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 16Q5 Ann P. Jennejohn From: Ann P. Jennejohn Sent: Tuesday, July 5, 2022 1:33 PM To: 'BardalesKarina' Subject: SHIP Satisfactions of Mortgage: Miller& Rodriguez-Casas (Item #16D5 6-14-22) Attachments: Backup Document 06_14_2022 Item #16D5.pdf Please see attached For your records. **receipt iv.cluded** Thank you! Ann Jennejohn I3MR Senior Deputy Clerk II �,.�T<<", Clerk to the Value Adjustment Board 1. r Office: 239-252-8406 Fax: 239-252-8408 (if applicable) An.n.Jennejohn@CollierClerk.com '?., Office of the Clerk of the Circuit Court 10t or & Comptroller of Collier County 3299 Tamiami Trail, Suite #401 Naples, FL 34112-5324 www.CollierClerk.com i 16Q5 INSTR 6272979 OR 6144 PG 1933 RECORDED 6/22/2022 5:04 PM 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 Rachel Miller to COLLIER COUNTY, dated February 28th,2008 and recorded on March 5th ,2008 in Official Records Book 4335 Page 2354 of the Public Records of Collier County, Florida, securing a principal sum of $20,085.00 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 ///4//2 o2 , Agenda Item Number 16. D._c" ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. K iZEL, CLERK OF COLLIER CO .' TY FLORIDA el , S. °.r t . (-I) 'A"/ Ar_ 0 By: .L� ! .!a_/ 4 . By: 't ?: ► t; RK WILL :/ L. MCDANIEL JR., CHAIRPERSON 0 1 :\,, sicRellro.on ye.' • I • .n A r val for form.n. gality: 0. D ek D. Perry Assistant County Attorney \ \'I tit CAO 1605 INSTR 6272978 OR 6144 PG 1932 RECORDED 6/22/2022 5:04 PM PAGES 1 Prepared by Karina Bardales CLERK OF THE CIRCUIT COURT AND COMPTROLLER County COLLIER COUNTY FLORIDA Collier 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 Ignacio Rodriguez and Tomasita Casas to COLLIER COUNTY, dated April 12th, 2002 and recorded on April 23rd, 2002 in Official Records Book 3024 Page 0258 of the Public Records of Collier County, Florida, securing a principal sum of $5,000.00 and'certain promises and ' obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. 1COLLIER 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 / /_o2z, Agenda Item Number 16. D.3 ATTES' ... ..,,_ � . +k, BOARD OF COUNTY COMMISSIONERS CRYS 'AL'�► . KINZ,%L, CLERK OF COLLIER C LORIDA p M (2) n • By: ,;l .it:4 �� l ,t •� 0 '' By: 1'lt'.1' ` CL ' WILL L. MCDANIEL JR., CHAIRPERSON Ap r val for fo d le ality: Derek D. Perry Assistant County Attorney ii L93 lj rqa