Backup Documents 09/24/2024 Item #16D 2 16D2
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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.
**NEW** 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. Wendy Klopf Community and Human 09/24/2024
Services
2. County Attorney Office County Attorney Office CS 91zgloY
3. BCC -Office Board of County
Commissioners Ctye q/L qtr
4. Minutes & Records Clerk of Court's Office 4/96/4
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 Wendy Klopf/CHS Phone Number 252-2901
Contact/ Department
Agenda Date Item was 09/24/2024 Agenda Item Number 1 6D2
Approved by the BCC
Type of Document SHIP SOM-Deceased Number of Original 1
Attached Documents Attached
PO number or account 1053-138791-649030-33863.01
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? WK
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be WK
signed by 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's NA
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 WK
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 WK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
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 09/24/2024 and all changes made during WK
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the WK
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,Revised 2.24.05;Revised 11/30/12
16D2
INSTR 6597647 OR 6402 PG 1035
RECORDED 9/30/2024 8:34 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by: Wendy Klopf COLLIER COUNTY FLORIDA
Collier County-Community and Human Services REC$10.00
3339 E.Tamiami Trail Ste 211
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Pamela K.Judy _to COLLIER COUNTY, dated April 22, 2021 and recorded on
April 22,2021 in Official Records Book 5933 Page 70 of the Public Records of Collier County, Florida,
having met the affordability housing obligation associated with the$60,000.00 of CDBG funds and certain
promises and obligations set forth in said Mortgage, upon the property described in the aforementioned
mortgage.
COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage and satisfaction
of said Mortgage, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court
to cancel the same of record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on 3e4kni 4 h a-012024
Agenda Number 16D Z .
ATTEST: • BOARD O UNTY COMMISSIONERS
CRYST K Z L,,CLERK OF COL OUN Y FLO A
By: By:
• s( '_F�R t as to Chairman's C ALL, CHAIRPERS
Approval oi•n nd fegalitysignature only
RL ANSEVERINO
Assis t County Attorney
• di