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Backup Documents 10/24/2023 Item #11D ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 1 U 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. ** 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 through routing lines#I 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 RT�/re 9/13/23 4. BCC Office Board of County Commissioners R - '/-5( it 2d/z3 5. Minutes and Records Clerk of Court's Office 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 Agenda Item Number 16A-9 /HO Approved by the BCC Type of Document(s) Marie Louis, Fernande Douyon&Jean Number of Original 1 Attached Louis- Release& Satisfaction of Lien 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/ RTT/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 RTT/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 RTT/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 RTT/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 I CAL(L( and all changes made RTT/rev N/A is not during the meeting have been incorporated in the attached document. The County an option for Attorney Office has reviewed the changes, if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the R rT/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 WWS Original 9.03.04;Revised 1.26.05;2.24.05;11/30/12;4/22/16;9/10/21 INSTR 6487450 OR 6313 PG 3577 RECORDED 12/14/2023 4:11 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA REC$10.00 INDX $1.00 This Instrument Prepared By: Ronald T. Tomasko, 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: Marie A. Louis, Fernande Douyon and Jean R. Louis, Respondents The lien was recorded on December 12, 2022, in Official Records Book 6197, Page 3576, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of eight thousand six hundred twenty-three dollars and forty-five cents ($8,623.45), 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 COUNTY, FLORIDA By: - r'`-r '- ,•,_ B /, j/ — •tf'5•a• ° E' { putt'Clerk Rick LoCastro, Chairperson Z,3 Date: 10/2 6 Appr to,form nd legality elAilW, • Ronald T. Tomas o Assistant County Attorney [23-CED-01740/1815320/1] 1 1 D This Instrument Prepared By: Ronald T. Tomasko, 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: Marie A. Louis, Fernande Douyon and Jean R. Louis, Respondents The lien was recorded on December 12, 2022, in Official Records Book 6197, Page 3576, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of eight thousand six hundred twenty-three dollars and forty-five cents ($8,623.45), 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 COUNTY, FLORIDA By: • t \ k' :•.�"w — By: ...ems as put rk Rick LoCastro, Chairperson rk't1 .. Date: Date: 10 f 29 ut3� Appr to,form nd legality Ronald T. Tomas o Assistant County Attorney [23-CED-01740/1815320/1]