Backup Documents 09/23/2014 Item #16D 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP ..2- `-�
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE (1E
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 Attorne Oe no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP 7
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. Jennifer A. Belpedio, ACA County Attorney Office p�j 14-'
2. BCC Office Board of County /
Commissioners \A\14/ lZVf`lc\
3. Minutes and Records Clerk of Court's Office
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 Moo /HHVS Phone Number 252-2338
Contact/ Department
Agenda Date Item was 09/23/14 Agenda Item Number 16.D.7 1/
Approved by the BCC
Type of Document Satisfaction of Mortgages-. ,‘ Number of Original 1
Attached o .ot. ke_lectse_ c,--)Documents Attached •
PO number or account Recording fees will be paid by the attached
number if document is checks from the title companies.
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+0. p oCc- MM
2. Does the document need to be sent to another agency for additional signatures? If yes, NA l�
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 j./-
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 NA t/
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 1.
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 NA
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 by the BCC on p31 ly and all changes made during MME Ci
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 th6 MM
BCC,all changes directed by the BCC have been made,and the document is ready for the
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
1607
INSTR 5060311 OR 5101 PG 2674
RECORDED 12/8/2014 3:53 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC$10.00
Prepared by:Mandy Moody
Collier County
Housing,Human&Veterans Services Dept
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION AND RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County,whose post office address is
3299 E. Tamiami Trail, Naples, Florida 34112, the owner and holder of a certain Impact Fee
Agreement executed by Jennifer Weir to Collier County, recorded on 03/31/04 in Official
Records Book 3532, Page 0804, of the Public Records of Collier County, Florida, in
consideration of $5,793.82, receipt of which is hereby acknowledged does remise, release,
quitclaim,exonerate and discharge from the lien and operation of the said agreement,that certain
portion of the premises conveyed by said lien, described in the aforementioned Impact Fee
Agreement.
The undersigned is authorized to and does hereby release this Lien with respect to the above-
named property, and consents to this Lien being forever discharged of record with respect to said
property.
This Release of Lien was approved by the Board of County Commissioners on -
se-p v-•b er- ?3 ,2014,Agenda Item Number 1(0 b1-1 .
ATTEST: BOARD OF C•UNTY •MMISSIONERS
DWIGHT E. BROCK, Clerk COLLIER CO)014 TY,F/•RIDA
B . _ � " • ` By: �V
Attest as to.cliairmaiNeputy Clerk s•• i enning, Chairman
signature only.
Oir
Approved as to form and
legality:
Jennifer A. Belpedio
Assistant County Attorney ���
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