Backup Documents 02/28/2023 Item #16D1 1 6Q
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 Oftce
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 ill through 42 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 41 through 42,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Irma Jimenez Community and Human IJ 02/24/2023
Services
1 County Attorney Office County Attorney Office
DV* 2/25/Z 3
3. BCC Office Board of County
Commissioners by/oW 3/5/Z 3
4, Minutes and Records Clerk of Court's Office O '
3/3/)-3 3:Otani
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 Irma Jimenez.Grants Coordinator I, Phone Number 239-252-2339
Contact/ Department Community and Human Services
Agenda Date Item was February 285 2023 Agenda Item Number 16.D _I__.
Approved by the BCC
Type of Document Recommendation to approve and authorized Number of Original 1
Attached the Chairman to sign One(1)mortgage Documents Attached
satisfaction for the SHIP loan program....
PO number or account
number if document is 791-138791-649030-33613.1
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? No
2. Does the document need to be sent to another agency for additional signatures? If yes, IJ
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 IJ
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 IJ
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 IJ
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 IJ
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip IJ
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 2/28/2023 and all changes made during lam
the meeting have been incorporated in the attached document. The County ( P
Attorney's Office has reviewed the changes,if applicable. �/V '.07
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the n zs `p
Chairman's signature. Ve'
l 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
16u1
INSTR 6372969 OR 6223 PG 821
C ERK OFRECORDED 3/8/2023 10:42 AM PAGES 1
Prepared by Irma Jimenez COLLIER COUNTY THE CIRCUIT COURT qNp COMPTROLLER
Collier County REC$10.00
FLORIDA
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 Gregory Jean and Yzelia Attilus to COLLIER COUNTY, dated June 22, 2011
and recorded on July 13,2011 in Official Records Book 4701,Pa!e 532,of the Public Records of Collier
County, Florida, securing a principal sum of$3,000.00 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.
'fu
This Satisfaction of Mortgage was approved by the Board of County Commissioners on this 28 day of
FE1540 21 2023,Agenda Item No. 16.D. I .
ATTEST: Ar), BOARD OF COUNTY COMMISSIONERS
CRYSTAL ►.`•KINZ L,CLERK OF COLLIER COUNTY, FLORIDA
BY: ' ...#safr
tot."( k/Jti
.�. Iv. By: ..�
M dt E'K Rick LoCastro, Chainnan
t Attest.as tol. 1 t++11�� "•, t
signature opIN.
App ved as to form and legality:
Derek D Perry '
Assistant County Attorney n\
\\\11
[23-SOC-00997/1766167/1] Page 1 of 1
C40
Receipt# 008682355
3/8/2023 10:42:25 AM
GO�osp.co0^,T� Crystal K. Kinzel
Clerk of the Circuit Court and Comptroller
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Customer Deputy Clerk Clerk Office Location
CLERK TO THE BOARD/MINS Stephanie L. Carr Collier County Govt. Center
& REC Recordinghelp@collierclerk.com Building LA, 2nd Floor
3299 TAMIAMI TRL E STE 401 (239)252-2646 3315 Tamiami Trl E Ste 102
NAPLES, FL 34112 Naples, Florida 34112-4901
1 Document Recorded
DOC TYPE INSTRUMENT BOOK PAGE AMOUNT
Satisfaction 6372969 6223 821 $10.00
TOTAL AMOUNT DUE $10.00
Clerk Account#: BCC ($10.00)
BALANCE DUE $0.00
Note:
3/8/2023 10:42:25 AM Stephanie L. Carr:
CHS
Charge Account 791-138971-649030-3313.1
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.
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