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Backup Documents 04/26/2022 Item #16A3 UTING ORIGINAL DOCUMENTS ALL ORIGINAL DOCUMENTS SENT TO LIP TO ACCOMPANY THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE V 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. 2. 3. County Attorney Office County Attorney Office CAK/rev 4/20/22 4. BCC Office Board of County Commissioners Il//11y I'I3/sj 9/26/2 2, 5. Minutes and Records Clerk of Court's Office ikr 412342 tri- •-ate 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 Approved by the BCC b k 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 nto be er if document is B 1t 9 2 2 O� to be recorded N- c.-✓ 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 final 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 N/A is not meeting have been incorporated in the attached document. The County Attorney's an option for, Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the CAK/rev 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. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip Vv e;S original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16A3 This Instrument Prepared By: Colleen A. Kerins, Esquire INSTR 6245678 OR 6120 PG 3747 q RECORDED 5/3/2022 1 38 PM PAGES 1 Collier County Attorney's Office CLERK OF THE CIRCUIT 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 1492, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of thirty-five thousand two hundred eighty-eight dollars and eighty cents ($35,288.80), 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 : - DA Ce). •111 By: atAAA. De � By: _��• Deputy Clerk Willi L. McDaniel, Jr., Chairperson •Date: 't'�0 �" Date: 4/261 ZZ Approved as to form apd legality • en A. Kerins Assistant County Attorney [22-CED-01644/1706800/1]