Backup Documents 10/14/2025 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
Lj TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO U .
iseL �� THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 3
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. Michelle Rubbo Community and Human MR 10/9/2025
Services
2. County Attorney Office County Attorney Office
CC() iO/P1l25-
3. BCC Office Board of County
Commissioners 65
4. Minutes and Records Clerk of Court's Office (?:76
D( ICI
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 Michelle Rubbo. Grants Support Specialist Phone Number 239-252-6030
Contact/ Department II,Community and Human Services
Agenda Date Item was October 14, 2025 Agenda Item Number 16.D.3
Approved by the BCC
Type of Document Recommendation to approve and authorized Number of Original 2
Attached the Chairman to sign two(2)SHIP SOMs Documents Attached
PO number or account 1053.138791.649030.33907.1
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 origin -signature? MR
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 MR
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 MR
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 MR
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 MR
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 CC.,./)
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 2/284023 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County CLD an option for
Attorney's Office has reviewed the changes,if applicable. I bl1 y(vs 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 an option for
Chairman's signature. this line.
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
INSTR 6741586 OR 6517 PG 978 1603 w
RECORDED 10/15/2025 2:16 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by Michelle Rubbo REC$10.00
Collier County-Community and Human Services
3339 E.Tamiami Trail,BLDG H,Ste 213
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 Jessica Jackson to COLLIER COUNTY dated August 26,2011 and recorded on
September 19,2011 in Official Records Book 4719,Page 2660 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.
1COLLIER 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 I D 114 i
oRS',
Agenda Item Number 1� e./a 3 .
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTALK. KINZEL, CLERK OF COLLIER COUNTY, FLORIDA
By: � - By:
17 ;, UT Y CLERK B/,€,,fer:/ttle401141-'n
. S , AIRMAN
,,, . ". est as to hairman's
•c::, • ..'i signature only
Approval for form and legality:
COURTNEY L. DASILVA C LD
ASSISTANT COUNTY ATTORNEY Oi2c1Z'
CAD
INSTR 6741587 OR 6517 PG 979 1603 rQ
RECORDED 10/15/2025 2:16 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by Michelle Rubbo REC$10.00
Collier County-Community and Human Services
3339 E.Tamiami Trail,BLDG H,Ste 213
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 TAMIA1VII TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Judith Repice to COLLIER COUNTY, dated March 2, 2015 and recorded on
March 6,2015 in Official Records Book 5126,Page 2131 of the Public Records of Collier County,Florida,
securing a principal sum of$30,000.00 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 1 0 1( ,
Agenda Item Number I ( ,D .
' 9 tg BOARD OF COUNTY COMMISSIONERS
* " ' CRYSTAI K. KINZEL, CLERK OF COLLIER COUNTY, FLORIDA
f; 7 win
By
,� 'r'k. ` 7 I D ITY CJ FRK B L. SAUNDERS, CHAIRMAN
as to hairman's
signature only
Approval for form and legality:
COURTNEY L. DASILVA (ILP f Z�
ASSISTANT COUNTY ATTORNEY UlZ�
CAO