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Backup Documents 03/08/2016 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 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 A ttorney Office no later than Monday preceding the Board meeting. 1? o - t**NEW** ROUTING SLIP 03 `-' (/'0' Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is eady 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 Count Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. County Attorney Office County Attorney Office oCkC), 3 `q\\(P 2. BCC Office Board of County T'F Commissioners 3. Minutes and Records Clerk of Court's Office tu A ct 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 Specialist, Phone Number 239-252-2338 Contact/ Department Commu ity and Human Services Agenda Date Item was March 8Agenda Item Number ,2016 16.D.5 Approved by the BCC 114�v Type of Document Satisfaction of Mortgage Number of Original 1 Attached Documents Attached PO number or account Recording Fee paid from check provided by number if document is Account# to be recorded Title Company 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? MM- 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 M 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 by the BCC on 03/08/2016 and all changes made during MM- the meeting have been incorporated in the attached document. The County No Attorney's Office has reviewed the changes,if applicable. Changes 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 the fi Chairman's signature. 1 / 1 I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 160 5 INSTR 5238238 OR 5250 PG 226 RECORDED 3/10/2016 3:30 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Prepared by:Mandy Moody Collier County COLLIER COUNTY FLORIDA Community and Human Services Divivsion 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 Sonia and Eddie Moore to COLLIER COUNTY, recorded on 05/30/2008 in Official Records Book 4365, Page 2399, of the Public Records of Collier County, Florida, securing a principal sum of$20,819.26 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 - Moth 3411‘ , 2016,Agenda Item Number I i t5 . ATTEST: BOA• P IF COUNTY OMMISSIONERS DWIGHT E. BROCK, CLERK OF Cf ER COUNT FLORIDA By: al 4 et, By: 5 ' ' Chairman Donna Fiala,District 1 Commissioner Attest as t0 GhcurincniTY CL. sitytatiwe011iform and legality: Nal Jennifer A. Belpedi a Assistant County Atto ey \l' 0