Backup Documents 09/27/2022 Item #16D 2 ec,
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 6 11 7
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. Karina Bardales Community and Human KB 09/22/2022
Services
2. Derek D. Perry County Attorney Office
(Url hhy/ )( 1 ///?,-z-
3. BCC Office Board of County
Commissioners
00 P 413027_
4. Minutes and Records Clerk of Court's Office I D 11l?� O:0 v
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 Karina Bardales,Grants Support Phone Number 239-252-2338
Contact/ Department Specialist/CHS Division
Agenda Date Item was September 27,2022 Agenda Item Number 16.D.2
Approved by the BCC
Type of Document SHIP Satisfactions of Mortgage: Clemons Number of Original 2
Attached and Saldana Documents Attached
PO number or account 001-155930-369620
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? KB
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 legal sufficiency. (All documents to be KB
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 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 KB
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 KB
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 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 09/27/2022 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County ay an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC, all changes directed by the BCC have been made,and the document is ready for the V D f an option for
Chairman's signature. this line.
** Please e-mail a recorded copy to Karina.Bardales@colliercountyfl.gov**
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
16 n2
INSTR 6316921 OR 6180 PG 1690
RECORDED 10/12/2022 2:21 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by Karina Bardales REC $10 00
Collier County
Community and Human Services
3339 E.Tamiami Trail
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 Donna L. Clemons to COLLIER COUNTY, dated December 13, 2011 and
recorded on February 22, 2012 in Official Records Book 4766 Pace 3308 of the Public Records of
Collier County, Florida, securing a principal sum of$3,000.00 and certain promises and obligations set
forth in said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges 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
SE1446EK Z7?-1 , 2022,Agenda Item Number 16. D. 2- .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLLIER CO TY, FLORIDA
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By: Dakt ' '� By: _....r__'ir.
�+ 44--4-'"y Wil,/:m L. McDaniel Jr., Chairperson
A oval for form and legality:
_.,
Derek D. Perry
Assistant County Attorney l�1, .?,C��'
[22-SOC-00945/1739846/1] Page 1 of 1
CAO
INSTR 6316922 OR 6180 PG 1691
RECORDED 10/12/2022 2:21 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by Karina Bardales
Collier County
Community and Human Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDI
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 Ana Gloria Saldana Torres to COLLIER COUNTY, dated April 30, 2015 and
recorded on May 12, 2015 in Official Records Book 5150 Pace 3149 of the Public Records of Collier
County, Florida, securing a principal sum of$20,000.00 and certain promises and obligations set forth in
said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges 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
5E0TrrI6ER, 1 1 , 2022,Agenda Item Number 16. D. 7--- .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLLIER COUNTY, FLORIDA
61)
10641;
BY: � . �. By:
�.e%�'
, DE14411 ! RK Will m L. McDaniel Jr., Chairperson
;Attest at, " • r[p, n°s
sipature onlyoN"
• 4.;.
Ap val for form and legality:
Cf
Derek D. Perry
Assistant County Attorney
[22-SOC-00945/1739847/1] Page 1 of 1
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