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Backup Documents 12/12/2023 Item #16A26 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 2 6 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 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 R T r 10/27/23 4. BCC Office Board of County Commissioners p L y /s/ 12121 z 3 5. Minutes and Records Clerk of Court's Office / Ma i I2 PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is eeded in the event one of the addressees above may need to contact staff for additional or missing i rmation. Name of Primary Staff Thomas landimarino Phone Number 252-2440 Contact/Department Agenda Date Item was Agenda Item Number 16A-26 Approved by the BCC Type of Document(s) Phyliss Westmoreland- Release& Number of Original 1 Attached Satisfaction of Lien Documents Attached PO number or account number if document is /f/ . /�W 9// /n41�3O to be recorded / 1f' 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/ ev 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 12/121�3 and all changes made RTT/rev N/A 1S not during the meeting have been incorporated in the attached document. The County an option fo 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 RTT/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. PLEASE SEND ORIGINAL BACK TO CODE ENFORCEMENT! 1: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 I 6 A 2 6 INSTR 6489298 OR 6315 PG 1662 RECORDED 12/20/2023 10:11 AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER By: COLLIER COUNTY FLORIDA This Instrument Prepared REC$10.00 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: Phyliss Westmoreland, Respondent The lien was recorded on May 27, 2021, in Official Records Book 5954, Page 3714, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of thirty-four thousand fifty-seven dollars and sixty-five cents ($34,057.65), 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> ��;a ?. BOARD OF COUNTY COMMISSIONERS f. CRYST . ' ,*cle k COLLIER COUNTY, FLORIDA BY: By: ( /� Deputy Clerk Rick LoCastro, Chairperson tu.1.t-z>,as to Chairman's Date: signature only Date: 121/2/23 App . -d as o form and legality 7�/ Ronald T. Tomasko Assistant County Attorney [23-CED-01749/1824398/1]