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Backup Documents 04/23/2024 Item #16A16 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 A 16 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. (Enter your Dept here) 3. County Attorney Office County Attorney Office RTT/mb y(23/2y 4. BCC Office Board of County CH by MB Commissioners [s] t(l23/2`I 5. Minutes and Records Clerk of Court's Office iitidgic*CogF 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 Madison Bird Phone Number 2939 Contact/Department Agenda Date Item was 4/23/24 Agenda Item Number 16.A.16 Approved by the BCC Type of Document(s) Release and Satisfaction of Liens Number of Original 2 Attached 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 signature?(stamped unless otherwise stated) MB 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 MB 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 MB 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 MB 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 MB 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_4/23/24 and all changes made RTT/mb 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 RTT/mb N/A is not BCC,all changes directed by the BCC have been made, and the document is ready for the optiorlpr Chairman's signature. ,is,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 16A16 This Instrument Prepared By: Ronald T. Tomasko, Esquire INSTR 6549695 OR 6362 PG 2611 Collier County Attorney's Office RECORDED 5/23/2024 8:49 AM PAGES 1 3299 E. Tamiami Trail-Suite 800 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Naples, FL 34112 COLLIER COUNTY FLORIDA (239) 252-8400 REC$10.00 INDX$1.00 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: •Joanne Christine Poyer EST and Iris M. Paul, Respondents The lien was recorded on November 26, 2014, in Official Records Book 5098, Page 1691, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of one thousand eight hundred fourteen dollars and ten cents ($1,814.10), 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 CRYSTALK. KINZEL, Clerk COLLIER O NTY, FLORIDA By: . E ` 16 By: Attest as tpe a k Cs Hall, Chairperso �'��" r itit signature only bate: 'C �`� Zp�t Date: '7 I' /23/2Y App s to form and legality nald T. Tomasko Assistant County Attorney [24-CE D-01784/1853321/1] 16A16 This Instrument Prepared By: Ronald T. Tomasko, Esquire INSTR 6549696 OR 6362 PG 2612 Collier County Attorney's Office RECORDED 5/23/2024 8:49 AM PAGES 1 3299 E. Tamiami Trail-Suite 800 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Naples, FL 34112 COLLIER COUNTY FLORIDA (239) 252-8400 REC$10.00 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: Iris M. Paul, Respondent The lien was recorded on February 3, 2016, in Official Records Book 5239, Page 526, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of twelve thousand eight hundred thirty dollars and twenty-eight cents ($12,830.28), 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 CO NTY, FLORIDA By By: �� AttesQiPdt tt�al an s ris Hall, Chairperso signature only Date: Date: 14/2312`I p' ed s yfor and legal ty F)onald T. Tomasko Assistant County Attorney [24-CED-01784/1853329/1[ Receipt# 008856415 5/23/2024 8:49:53 AM OWN,`{-xc Crystal K. Kinzel '--, Clerk of the Circuit Court and Comptroller ' o a Li r _ k, \k P>iif-Tmc,-,`'`'' 0 If?(Lif—@ C-`221@CM `--7 :CD ER Customer Deputy Clerk Clerk Office Location CLERK TO THE BOARD/MINS Steven M. Sanchez 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 2 Documents Recorded DOC TYPE INSTRUMENT BOOK PAGE AMOUNT Release 6549695 6362 2611 $11.00 Release 6549696 6362 2612 $10.00 TOTAL AMOUNT DUE $21.00 Clerk Account#: BCC ($21.00) BALANCE DUE $0.00 Note: 5/23/2024 8:49:53 AM Steven M. Sanchez: CHARGE ACCOUNT#111-138911-649030 DEPARTMENT: CEB 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. ©®° 11[10@1CggOrEfa Page 1 of 1