Backup Documents 01/27/2015 Item #16D3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
-2-(2,
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATUR
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the Counn f 1
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Atto a at
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. Peggy Hager Community and Human
Services //2`f _5
2. County Attorney Office County Attorney Office 4Y_ l i-al I'C
3. BCC Office Board of County .7
Commissioners \ / l'-o\\S
4. Minutes and Records Clerk of Court's Office 11DJ IS 3: (spm
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 Mandy Moody, Grant Support S ecialist, Phone Number
239-252-2338
Contact/ Department Community and Human Ser ices
Agenda Date Item was Agenda Item Number
Approved by the BCC January 27,2015 16.D.3
Type of Document Satisfaction of Mortgage Number of Original 3
Attached Documents Attached
PO number or account
number if document is Recording Fee will be payed by checks Account#
to be recorded attached.
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?
Stamp
ok
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 MM
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 MM
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 MM
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 bythe BCC on 10/28/14 and all changes made duringMM- b
Pp ., ,it
the meeting have been incorporated in the attached document. The County No sipl'r, .
Attorney's Office has reviewed the changes, if applicable. ". g b` ,:,
9. Initials of attorney verifying that the attached document is the version approved by the
et 0
BCC,all changes directed by the BCC have been made,and the document is ready for t ,, , '•
;
Chairman's signature.
1.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
16133
INSTR 5079982 OR 5117 PG 1348
RECORDED 2/3/2015 11:38 AM PAGES 1
DWIGHT E BROCK, CLERK OF THE CIRCUIT COURT
Prepared by:Mandy Moody COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community&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 Sh'Ronda M. Ross & Ladis Keon Ross, husband and wife, to COLLIER
COUNTY, recorded on 12/31/12 in Official Records Book 4871, Page 1145, of the Public Records of
Collier County, Florida, securing a principal sum of $20,000 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 -
J0J-11,Lc t1 3'1 , 2015, Agenda Item Number (C0 •5 .
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROC CLERKOF COL OUNTY, FLORIDA
A By:
Atte it3 r{ ttairalies
TIM NANCE. CHAIRMAN
•
si in hre Iy.
Approval&Form and regality:
Jenn r A. BelpDe
Assistant County - .rney 0
4
16133
INSTR 5079983 OR 5117 PG 1349
RECORDED 2/3/2015 11:38AM PAGES 1
Prepared by: Mandy Moody DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Community&Human Services REC$10.00
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 Juan Daniel Lopez & Alicia Yanet Suarez to COLLIER COUNTY, recorded
on 01/23/13 in Official Records Book 4877,Page 3811, of the Public Records of Collier County, Florida,
securing a principal sum of$20,000 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 -
�� , 2015, Agenda Item Number ((Q17. 3 .
ATTEST: ` BOARD OF COUNTY COMMISSIONERS
DW ",T E.BROC , t LERK OF COLLIE77,FL RIDA
By:
Attest 1,4* ``' ntikk
TIM NANCE,CHAIRMAN
igapre oilIy
Approval r i`orm an a legality:
Jenni er A. Belpedi
Assistant County Atto y
ca <NY
tc!)
d _�
16133
INSTR 5079984 OR 5117 PG 1350
Prepared by:Mandy Moody RECORDED 2/3/2015 11:38 AM PAGES 1
Collier County DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Community&Human Services COLLIER COUNTY FLORIDA
3339 E.Tamiami Trail REC$10.00
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 Jose A. Velazquez Gonzalez, Sr. to COLLIER COUNTY, recorded on 03/22/13
in Official Records Book 4899, Page 2483, of the Public Records of Collier County, Florida, securing a
principal sum of $16,000 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 -
, 2015,Agenda Item Number t(. 17 3 .
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWI HT E. BROCK-CLERK OF COLLIER COUNTY,FLORIDA
By. By:
•
A nWPIJn's TIM NANCE,CHAIRMAN
Approval foivf+b`rtlfrd;IW Ality:
Jennifer A. Belped' (- `\G�
Assistant County orne