Backup Documents 03/10/2015 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1(f- '-4°
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 3 /2
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 ffico r
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP 2
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 Coun Attorney Office.
Route to Addressee(s) (List in routing order) Office In' ,als Date
1. Jennifer A. Belpedio, ACA County Attorney Office '' 3 S 1
2. BCC Office Board of County =C3 1
Commissioners
3. Minutes and Records Clerk of Court's Office V� `�
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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 Elly Soto McKuen/Community and Human Phone Number (239)252-26 4
Contact/ Department Services
Agenda Date Item was 3/10/15 Agenda Item Number 16.D.2
Approved by the BCC _
Type of Document Satisfaction of Mortgage Number of Original j
Attached Documents Attached _ 1
PO number or account Recording fees should be charged to 111-
number if document is 138759-649030
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? 5"rc r P oK esm
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 esm
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 esm
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 esm
signature and initials are required.
7. In most cases(some contracts are an exception),the origt al document and this routing slip esm
should be provided to the County Attorney Office at the lime the item is input into SIRE.
Some documents are time sensitive and require forward g to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be awa a of your deadlines!
8. The document was approved by the BCC on 3/10 5 and all changes made during the esm �t not
meeting have been incorporated in the attached document. The County Attorney's +•t`ot, for'
Office has reviewed the changes,if applicable
9. Initials of attorney verifying that the attached document is the version approved by the ( .
BCC,all changes directed by the BCC have been made, and the document is ready for e + o •
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
X 6 13 2
INSTR 5094647 OR 5128 PG 3728
RECORDED 3/13/2015 12:33 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by:Jennifer Belpedio COLLIER COUNTY FLORIDA
Collier County REC$10.00
Attorney Office
3299 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 and Mortgage and Note Modification Agreement executed by Creative Choice Homes XIV,
Ltd.to COLLIER COUNTY, recorded on 6/15/2004 in the Official Records Book 3587,Page 0412 and
12/28/2010 in Official Records Book 4637, Page 1286, respectively, of the Public Records of Collier
County, Florida, securing a principal sum of$200,000 and certain promises and obligations set forth in
said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage, as modified,
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 March 10, 2015,
Agenda Item Number 1(0 D a
X3
ATTEST: frs BOARD OF COUNTY COMMISSIONERS
DWI HI Ei BROC CL4RKOF COL T,Y LORIDA
tte By.
Attest as t' 1�t LERK TIM NANCE,CHAIRMAN
signature only.
Approval for form and legality:
Jennifer A. Belpedio 411
Assistant County Attorn-' _;'
et 2
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