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Backup Documents 02/25/2014 Item #16A16 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 A 16 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT T THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Routed by Purchasing Department to Office Initials Date the Following Addressee(s)(In routing order) Risk 2. County Attorney Office County Attorney Office 3. BCC Office Board of County 'rk{ Commissioners / 45604A 4. Minutes and Records Clerk of Court's Office 5. Return to Purchasing Department Purchasing Contact: Diana DeLeon PRIMARY CONTACT INFORMATION Name of Primary Diana DeLeon for Tracey Payne Phone Number 252-8375 Purchasing Staff March 4,2014 Contact and Date Agenda Date Item was February 25,2014 Agenda Item Number 16.A.16 Approved by the BCC Type of Document Vehicle Title Number of Original 7Y Attached Documents Attached PO number or account N/A Solicitation/Contract Tamiami Ford number if document is NumberNendor Name 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? DD 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 N/A 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 N/A 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 DD signature and initials are required. 7. In most cases(some contracts are an exception),an electronic copy of the document and N/A this routing slip should be provided to the County Attorney's Office before the item is input into SIRE. 8. The document was approved by the BCC on the date above and all changes made DD during the meeting have been incorporated in the attached document. The County Attorney's 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 th- A Chairman's signature. A08545 16A16 , ,_ . r- a�00/oo?D NUM Ia IDENTIFICATION NUMBER YR MAKE MODEL BODY WT-1-BHP VESSEL REGIS. NO. TITLE NUMBER awl 1HTSCAAN31H400141 2001 INTL TK 24260 83460372 ® REGISTERED OWNER DATE OF ISSUE ; Z COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS 06/14/2001 y 3301 E TAMIAMI TRL ; � Illf O NAPLES FL 34112-3868 LIEN RELEASE INTEREST IN THE ABOVE DESCRIBED VEHICLE IS. 1 HEREBY RELEASED IA BY Y• o ilso > W MAIL TO: TITLE DATE in COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS O 3301 E TAMIAMI TRL 1111111 limo NAPLES FL 34112-3969 + fw 1 X + �'I. 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