Backup Documents 03/26/2024 Item #16A 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 4
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 0 ce no later
than Monday preceding the Board meeting.
** ROUTING SLIP** Foe ` "lid '
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is alrea comp to with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the Coun ttomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office RTT/rev 3/21/24
4. BCC Office Board of County
Commissioners CN by 748 /2c/z ��
5. Minutes and Records Clerk of Court's Office I'� A i VW IIDZAgA-
32 Z�
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-4
Approved by the BCC
Type of Document(s) Jason L. Willard Est..-Release& Number of Original 1
Attached Satisfaction of Lien Documents Attached
PO number or account
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 3/26/24 and all changes made during the RTT/rev N/A is not
meeting have been incorporated in the attached document. The County Attorney an option for
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!
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
16A 4
INSTR 6526878 OR 6344 PG 3475
RECORDED 4/2/2024 2:26 PM PAGES 1
This Instrument Prepared By: COLLIER COUNTY FLORIDAOURTAND COMPTROLLER
Ronald T. Tomasko, 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:
Jason Lee Willard EST.,
Respondent
The lien was recorded on May 5, 2017, in Official Records Book 5390, Page 3844, in the Official
Records of Collier County, State of Florida. The lien secures the principal sum of five thousand
two hundred twenty-eight dollars and seventy-six cents ($5,228.76), 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
CRYSTAL4k. LNZEL" ON* COLLIER & l, c !irpersn
TY, FLORIDA
By: 4. . By:
as y
. 5 i t
u'r`� QR(Y; eput CI,
Date: +a n Date: 3 f 2e/2Y
Appro to or and le " lity
onald T. Tomasko
Assistant County Attorney
[24-CE D-01772/1853056/1]