Backup Documents 06/28/2016 Item #16D 1 '1D v ecd"dz'j 1-5-'14°
ORIGINAL
'5-'14-
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP D
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 Attorney Office no later
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. Wendy Klopf Community and Human � 'r�
Services
2. County Attorney Office County Attorney Office
3. BCC Office Board of County 17F b%
Commissioners Nt(' 75/ 'I It We,
4. Minutes and Records Clerk of Court's Office �m . (t ft ':a .
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 Wendy Klopf/C Phone Number 252-2901
Contact/ Department
Agenda Date Item was 06.28.2016 Agenda Item Number 16.D.1
Approved by the BCC
Type of Document Satisfaction of Mortgage(7) Number of Original 7
Attached Documents Attached
PO number or account 705-138705-882100-33435.1
number if document is
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? S4,Fa e 0 1r A•1 WK
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
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 WK
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
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 WK
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 WK
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 06/28/2016 and all changes made during WK
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 theK
BCC, all changes directed by the BCC have been made, and the document is ready for the 0.9
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 1/30/ �411%,„
INSTR 5286551 OR 5291 PG 923
RECORDED 7/6/2016 3:48 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Prepared by: Wendy Klopf REC$10.00 1 6 D 1
Collier County
Community and Human Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Annie M Dove to COLLIER COUNTY, recorded
on 10/12/2005 In Official Records Book 3909 ,Page 2993 , of the Public Records of
Collier County, Florida, securing a principal sum of$ 15,000.00 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, 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
- n.8 ,2016,Agenda Item Number 1 tp ,0, .
ATTEST: BOARD ' COUNTY CO MISSIONERS
DWIGHT E.$ROCK,CLERK OF CO IR COUNTY, ORIDA
By „: ,*4,4k1I I • By:
Attest as _'� ��as RK Chairman Donna Fiala,District 1 Commissioner
A Anatuseanlyend legality:
Jennifer A.Belpedio
Assistant County Attorney 03 (1)
4
•
0
1601
INSTR 5286552 OR 5291 PG 924
RECORDED 7/6/2016 3:48 PM PAGES 1
Prepared by: Wendy Klopf DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community and 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 Lucy M Hall to COLLIER COUNTY, recorded
on 10/04/2005 In Official Records Book 3904 ,Page 0142 , of the Public Records of
Collier County, Florida, securing a principal sum of$15,375.00 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, 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
- 31/4,,r,e.. 3'! , 2016,Agenda Item Number '1L), l., I .
ATTEST: ',:-T'; BOA''Ai OF COUNTY OMMISSIONERS
DWIGHT E. BROCK;CLERK OF #I IER COUNT ,FLORIDA
By. Ilikr . 11 '
ii 4. ' .1
_ A t i w4 � J By:
� Jl Chairman Donna Fiala,District 1 Commissioner
signatur
Approval for form and.legality:
Jennifer A.Belpedioc)-) - \O
Assistant County A ey
0
1 6 0 1
INSTR 5286553 OR 5291 PG 925
RECORDED 7/6/2016 3.48 PM PAGES 1
Prepared by:Wendy Klopf DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Community and 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 Leon F Pasiuk&Michelle Collins to COLLIER COUNTY, recorded
on 10/06/2005 In Official Records Book 3906 ,Page 2261 , of the Public Records of
Collier County, Florida, securing a principal sum of$16,816.00 and certain promises and
obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage, and
surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of
record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on
�c- o2g ,2016, Agenda Item Number Flo, b, .
ATTEST: BOARD • COUNTY C MMISSIONERS
DWIGHT E.BROCK,CLERK OF CO I R COUNTY, LORIDA
BY: �1 . . . lett., • • By: 11
DE'EY CLERK
Attest as at all's Chairman Donna Fiala,District 1 Commissioner
Ap ttiai tefak and legality:
Jenni er A. Belpedio (lj
Assistant County,Attorne j'
\'‘
16131
Prepared by:Wendy Klopf
Collier County
Community and Human Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Dennis Olivas and Tarcila R Olives to COLLIER COUNTY, recorded
on 10/27/2010 In Official Records Book 4618 ,Page 1299 , of the Public Records of
Collier County, Florida, securing a principal sum of$ 11,685.75 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, 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
- , 2016,Agenda Item Number \la S b. .
ATTEST: BOA NI OF COUNTY COMMISSIONERS
DWIGHT E. BROCK,CLERK OF P LIER COUN ,FLORIDA
BY: 1-I e u � ��. 41§ 1 By
Attest as • • : K Chairman Donna Fiala,District 1 Commissioner
AppM *JrtDnd legality:
C.�
Jennifer A.Belpedio ` d\(.19
Assistant County Attorney
INSTR 5286554
RECORDED 7/6 2R 5291 PG 926
DIGHT E BRO 016 3:48 PM 26 1
COLLIER cOUNTyRK pF
REC$10.00 FLORIDA THE CIRCUIT COURT
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1 6 0 1
INSTR 5286555 OR 5291 PG 927
RECORDED 7/6/2016 3:48 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by:Wendy Klopf COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community and Human Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Ricardo Ozuna&Delia Ozuna to COLLIER COUNTY, recorded
on 12/01/2010 In Official Records Book 4628 ,Page 2273 , of the Public Records of
Collier County, Florida, securing a principal sum of$ 14,999.00 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, 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
- �,r� a , 2016,Agenda Item Number llo ,CJ, I .
ATTEST: BOA OF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK OF C LIER COUNT, ,F.LORIDA
i
By: I'A .. 41lr0-.4.40 By:
a '}SEP IVO'ERK Chairman Donna Fiala,District 1 Commissioner
Ap r, ' tfgf#° a. gaIi y:
Orgnature qy.
Jennifer A.Belpedio
Assistant County Attorney C ‘4\ '
`
n
�n,
C--
1 601
INSTR 5286556 OR 5291 PG 928
RECORDED 7/6/2016 3:48 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Prepared by: Wendy Klopf REC$10.00
Collier County
Community and 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 Alfiree Jackson to COLLIER COUNTY, recorded
on 04/04/2006 In Official Records Book 4010 ,Page 0114 , of the Public Records of
Collier County, Florida, securing a principal sum of$18,485.00 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, 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
- a's , 2016,Agenda Item Number lLo,D• 1 .
ATTEST: BOA' I IF COUNTY C MMISSIONERS
DWIGHT E.BROCK, CLERK OF CO , 1ER COUNTY LORIDA
By: ()AU(. 3 F'4. OC
By: /
Attest as' •• Chairman Donna Fiala,District 1 Commissioner
Apprl%Pr legality:
Jenni)A. Belpedio
Assistant County Attorney
1 6 0 1
INSTR 5286557 OR 5291 PG 929
RECORDED 7/6/2016:2039
348 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Prepared by: Wendy Klopf REC$10.00
Collier County
Community and Human Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Michelle S.Jay to COLLIER COUNTY, recorded
on 03/04/2009 In Official Records Book 4432 ,Page 2293 , of the Public Records of
Collier County, Florida, securing a principal sum of$ 10,000.00 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, 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
- as ,2016,Agenda Item Number Il.o•O. 1 .
ATTEST: BOA' OF COUNTY OMMISSIONERS
DWIGHT E.BROCK,CLERK OF IER COUNT Ft.ORIDA
By: � , , 1, � By:
Sf Chairman Donna Fiala,District 1 Commissioner
Approva�'fS •' . A legality:
JennirerA. Belped'to� � `�
Assistant County Attorney
6\`