Backup Documents 04/11/2023 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1
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 w1 6 4
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Don Luciano Community and Human DL 04/11/23
Services
2. County Attorney Office County Attorney Office �(+ r rA
3. BCC Office Board of County
Commissioners b . V�/ 17l
4. Minutes and Records Clerk of Court's Office rf 11173 2
,7v
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 Don Luciano, Manager,Federal& State Phone Number 239-252-2509
Contact/ Department Grant Operations,Community and Human
Services
Agenda Date Item was April 11,2023 (BCC Meeting date) Agenda Item Number 16.D.4
Approved by the BCC
Type of Document SHIP Satisfactions of Mortgage Number of Original 2
Attached Documents Attached
PO number or account
number if document is 791-138791-649030 33686.1
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? DL
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 DL
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 DL
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 DL
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip DL,
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 04/11/23 and all changes made during L., 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 V\ an option for
Chairman's signature. this line.
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
16UL
•
INSTR 6392041 OR 6238 PG 1873
RECORDED 4/20/2023 8:48 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by Irma Jimenez 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 Anthony Iantosca to COLLIER COUNTY, dated January 22,2009 and recorded
on January 27,2009 in Official Records Book 4422,Page 3837,of the Public Records of Collier County,
Florida, securing a principal sum of $4,560.00 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 this (I day of
,-D( , 2023,Agenda Item No. 16.D.UI
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLLIER COUNTY, FLORIDA
By: 0.C, By:
, TY CLERK Rick LoCastro, Chairman
Attest as taarrrhan'S,
sign at;lre ly:
Approved as to form arid legality:
erek D. erry
Assistant County Attorney 1/
\' V
[23-SOC-00997/1766168/I] Page 1 of 1
CA0
16 it
INSTR 6392042 OR 6238 PG 1874
RECORDED 4/20/2023 8:48 AM PAGES 1
Prepared by Irma Jimenez CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Collier County COLLIER COUNTY FLORIDA
Community and Human Services REC$10.00 INDX$1.00
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 Maria Sebastian n/k/a Maria Jimenez Andres and Pascual Sebastian to
COLLIER COUNTY, dated January 4, 2007 and recorded on January 10, 2007 in Official Records
Book 4167, Page 1550, of the Public Records of Collier County, Florida, securing a principal sum of
$18,750.00 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 this 114 d y of
/p ( 2023,Agenda Item No. 16.D .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K.KINZEL, CLERK OF COLLIER COUNTY, FLORIDA
By: • N V • By:
U. CLERK Rick LoCastro, Chairman
test as to Chair lan.
.j
Approved as,to form;;a i1d legality:
j L erek . Perry 17
Assistant County Attorney 'L
\\ 47
1,
[23-SOC-00997/1766166/1] Page 1 of 1
CAp