Backup Documents 02/25/2025 Item #16A 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 9
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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office RTT 1/30/25
4. BCC Office Board of County
Commissioners ( j /7f c 1 2(25/a$
5. Minutes and Records Clerk of Court's Office 6,4
4,/v5-
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 Iliana Burgos Phone Number 252-6865
Contact/Department
Agenda Date Item was Agenda Item Number 16A-9
Approved by the BCC
Type of Document(s) Katherine M Johnson Trust, Est-Releases Number of Original 1
Attached , & Satisfaction of Lien Documents Attached
PO number or account DO NOT RECORD,PLEASE RETURN
number if document is TO CODE FOR FURTHER
to be recorded PROCESSING!"!
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 2(45 and all changes made RTT/rev 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/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
16A9
Co te-r County
Growth Management Department
Code Enforcement division
DATE: March 4, 2025
TO: Minutes & Records, Bldg F 4th Floor
FROM: Diana Burgos, Code Enforcement
RE: Release of Liens — BCC Items # 16 A 9
I respectfully request that your office certify all documents contained herein
and then forward the documents, with this memo, to the Recording
Department for official recording.
Recording Department Instructions:
Please record all documents contained herein as Release of Lien and
return the originals to the Minutes and Records Department.
The Code Enforcement Cost Account is 111-138911-649030.
(liana Burgos, Operations Supervisor
Collier County Code Enforcement
Growth Management Building
Thank you all very much for your assistance. Should you have any questions
or require additional information, please do not hesitate to contact me at 252-
6865.
rt
Code Enforcement Division•2800 North Horseshoe give•Naples,Florida 34104.239-252-2440•iimw.coliergov.net
16A9
INSTR 6651704 OR 6444 PG 1185
RECORDED 3/5/2025 9.08 AM PAGES 1
CLERK OF T'rIE CIRCUIT COURT AND COMPTROLLER
COLLIER. COUNTY FLORIDA
This Instrument Prepared By: REC 810.00
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:
KATHERINE M. JOHNSON TRUST, EST,
Respondent
The lien was recorded on April 5, 2021, in Official Records Book 5920, Pages 3901-3902, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of nine
thousand two hundred sixty-eight dollars and fifty-six cents ($9,268.56), 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 COUNTY, FLORIDA
Deputy Clerk
F�,�.'�,� ,- Burt L. Saunders, Chair
Date: % / / 6' signature� Date: 7/25/25
Approved as to form and legality
fI 1 j kt 4,tfr
Ronald T. Tomasko
Assistant County Attorney
[25-CED-01868/1918907/1]
16A9
Receipt# 008960770
3/5/2025 9:08:45 AM
Rcou,v Crystal K. Kinzel
(�� Clerk of the Circuit Court and Comptroller
o
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Q� '`rt c�x� Go 0 O O o11 .7
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_ j3DIR
Customer Deputy Clerk Clerk Office Location
CLERK TO THE BOARD/MINS Stephanie L. Carr 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
1 Document Recorded
DOC TYPE INSTRUMENT BOOK PAGE AMOUNT
Release 6651704 6444 1185 $10.00
TOTAL AMOUNT DUE $10.00
Clerk Account*: BCC ($10.00)
BALANCE DUE $0.00
Note:
3/5/2025 9:08:45 AM Stephanie L. Carr:
Code Enforcement
Charge account: 111-138911-649030
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.
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