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Backup Documents 06/27/2023 Item #16A13 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 A 1 3 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. ** ROUTING SLIP** 9� Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already corn tow 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 6/22/23 4. BCC Office Board of County Commissioners by PO hi 6/17'L3 5. Minutes and Records Clerk of Court's Office AitV to 21I2b 3°4 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 Thomas Iandimarino Phone Number 252-2440 Contact/Department Agenda Date Item was 6/27/23 Agenda Item Number 16A-13 Approved by the BCC Type of Document(s) Edward Slasienski-Release& Satisfaction Number of Original 3 Attached of Liens Documents Attached PO number or account 111-138911-649030 number if document is 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(instead of stamp)? 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 legality. (All documents to be signed by CAK/rev 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 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 fmal 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 uploaded to the agenda. 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 6/22/23 and all changes made during the CAK/rev meeting have been incorporated in the attached document. The County Attorney ' _ Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the CAK/rev ito BCC,all changes directed by the BCC have been made, and the document is ready for the Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04;Revised 1.26.05;2.24.05;11/30/12;4/22/16;9/10/21 Receipt# 008732739 I 7/5/2023 11:33:31 AM `��,,,:RCO/ i,, Crystal K. Kinzel 1 6 A 1 3 Clerk of the Circuit Court and Comptroller ❑ ❑ o a \ c-mg _ iDER Customer Deputy Clerk Clerk Office Location CLERK TO THE BOARD/MINS Anahi Ramirez 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 3 Documents Recorded DOC TYPE INSTRUMENT BOOK PAGE AMOUNT Release 6424457 6264 3727 $10.00 Release 6424458 6264 3728 $10.00 Release 6424459 6264 3729 $10.00 TOTAL AMOUNT DUE $30.00 Clerk Account#: BCC ($30.00) BALANCE DUE $0.00 Note: 7/5/2023 11:33:31 AM Anahi Ramirez: Charge Account: 111-138911-649030 Department: (CE) Code enforcement 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. ©all ril®COO@ ❑@Qo j] Page 1 of 1 16A 13 INSTR 6424457 OR 6264 PG 3727 RECORDED 7/5/2023 11.33 AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA This Instrument Prepared By: REC$10.00 Colleen A. Kerins, Esquire Collier County Attorney's Office 3299 E. Tamiami Trail-Suite 800 Naples, FL 34112 (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: Edward Slasienski, Respondent The lien was recorded on February 3, 2010, in Official Records Book 4534, Page 2168, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of four thousand eight hundred twenty-nine dollars and eighty-one cents ($4,829.81), 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 Offipial Records of Collier County, Florida, to acknowledge that the lien ceases to exist. ATTEST `;` ' BOARD OF COUNTY COMMISSIONERS CRYSTAL L, Clerk COLLIER COUNTY, FLORIDA • C -721; ;;) Bj.: By: • AttestDs FuNl ,s Rick LoCastro, Chairman signature only Date: zg �` Date: 6/27/23 Approved as to form and legality r /1 olleen A. Kerins Assistant County Attorney [23-CED-01723/1792475/1] 1 6A 1 3 INSTR 6424458 OR 6264 PG 3728 RECORDED 7/5/2023 11:33 AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER This Instrument Prepared By: COLLIER COUNTY FLORIDA Colleen A. Kerins, Esquire REC$10.00 Collier County Attorney's Office 3299 E. Tamiami Trail-Suite 800 Naples, FL 34112 (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: Edward Slasienski, Respondent The lien was recorded on February 3, 2010, in Official Records Book 4534, Page 2174, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of nine thousand four hundred twenty-nine dollars and fifty-five cents ($9,429.55), 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 CRYSTA'" INZEL;Clerk COLLIER COUNTY, FLORIDA By: i` • By: --_ • as Deputy Clerk Rick LoCastro, Chairman .. Antes a to hairman's Isignature only Date: 6/27/23 Dater Qta ' -:._ Approved as to form and legality Col een A. Kerins Assistant County Attorney [23-CED-01723/1792474/1] 16A 13 INSTR 6424459 OR 6264 PG 3729 RECORDED 7/5/2023 11:33 AM PAGES 1 This Instrument Prepared By: CLERK OF THE CIRCUIT COURT AND COMPTROLLER Colleen A. Kerins, Esquire COLLIER COUNTY FLORIDA Collier County Attorney's Office REC$10 00 3299 E. Tamiami Trail-Suite 800 Naples, FL 34112 (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: Edward Slasienski, Respondent The lien was recorded on February 3, 2010, in Official Records Book 4534, Page 2166, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of thirteen thousand twenty-nine dollars and seventy-three cents ($13,029.73), 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 4. � BOARD OF COUNTY COMMISSIONERS CRYSTAL`:; N ELA'Clerk COLLIER COUNTY, FLORIDA By: ;E :j By: ,,ktt `Qs ' Ma J ii's Rick LoCastro, Chairperson signature only Date: Date: 6/Z7/2 3 Approved as to form and legality o e . Kerins Assistant County Attorney [23-CED-01723/1792476/1]