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Backup Documents 09/13/2016 Item #16D 8 1 6 0 8 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 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. n **NEW** ROUTING SLIP @Cercta 1nVil Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already corniSeete 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 Services I X10 2. County Attorney Office County Attorney Office 1113114, 3. BCC Office Board of County Q.F ti Commissioners ZV Ck, \13tIg 4. Minutes and Records Clerk of Court's Office 71Y1 q(oft‘ 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 Phone Number 252-2901 Contact/ Department Agenda Date Item was 09/13/2016 f Agenda Item Number l6-13{ 2 Approved by the BCC 1(.2% Type of Document Satisfaction of Mortgage ✓ Number of Original 5 Attached Documents Attached PO number or account 4-10$checks '}4 t-1381-91-6019030- number if document is 1-using SHIP WBS Element# 3''tt,v1, to be recorded (.See Mernc)j 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('Ar(p N/A 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 " signed by the Chairman,with the exception of most letters,must be reviewed and signed ,0 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 09/13/2016 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. 'fit 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 tChairman's signature. • s 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 INSTR 5312637 OR 5314 PG 817 RECORDED 9/15/2016 1:26 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Wendy Klopf Collier County Community and Human Services1 68 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 Monica Martinez to COLLIER COUNTY, recorded on 12/11/2007 in Official Records Book 4310 ,Page 2265 , of the Public Records of Collier County,Florida,securing a principal sum of$20,250.00 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 - G' i 3 ,2016,Agenda Item Number I(p 8 ATTEST: BOA' 1 0F COUNTY C MMISSIONERS DWIGHT E.BROCK,CLERK OF • ' R COUNTY, LORIDA By: y: �Il�/ B Attest as to Chairman,SDEPUTY CLER r' Chairman Donna Fiala,District 1 Commissioner signatureipnl pp val for form and legality: Jenni er A.Belpedio Assistant County Attorney C� s\3 0 INSTR 5312639 OR 5314 PG 820 RECORDED 9/15/2016 1:30 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Wendy Klopf CoCounty Community ty 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 Brandon French to COLLIER COUNTY, recorded on 07/10/2009 in Official Records Book 4471 ,Page 532 , of the Public Records of Collier County,Florida, securing a principal sum of$6,200.00 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 - ci 113 ,2016,Agenda Item Number L Co b $ . ATTEST: • • BOARD COUNTY C MMISSIONERS DWIGHT E.BROCK CLFf,K OF CO R COUNTY,' LORIDA BY: ,� vl, 1 � i By: Attest as o airman:'UTY N E' Chairman Donna Fiala,District 1 Commissioner signature only Approval for form and legality: Jennifer .Belpedio koo � Assistant County Attorney �\.y)\ INSTR 5312641 OR 5314 PG 822 RECORDED 9/15/2016 1:32 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Wendy Klopf CollierCounty 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 Eredia Reinoso Delgado to COLLIER COUNTY, recorded on 08/23/2010 in Official Records Book 4597 ,Page 2119 of the Public Records of Collier County, Florida, securing a principal sum of$2,200.00 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 - ( t3 , 2016,Agenda Item Number l lD,b3" _ ATTEST: BOARD COUNTY C MMISSIONERS DWIGHT E.BROCK,CLERK OF CO R COUNTY, LORIDA By: i t.,r— ,igg. By: 0 Attest as to C airman,-DEPUTY CII RK Chairman Donna Fiala,District 1 Commissioner signature*,val for forin.and lega Jenni er A.Belpedio Assistant County Attorney INSTR 5312643 OR 5314 PG 824 RECORDED 9/15/2016 1.35 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Wendy Klopf Collier County ty and Human Services 3339 E.Tamiami Trail 1 6 8 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 Evens Saint Louis & Wilianie D. Saint Louis to COLLIER COUNTY, recorded on 03/27/2009 in Official Records Book 4438,Page 3994, of the Public Records of Collier County, Florida, and a Mortgage Modification recorded on 12/22/2009 in Official Records Book 4521, Page 2457 securing a principal sum of$14,997.00 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 - Ci I , 2016,Agenda Item Number 112,Q ' . ATTESTBOAR F COUNTY C MMISSIONERS DWIGHT E.BROCK,CLERK. OF C LER COUNTY; LORIDA g >iOyVl{al la , "" By: n-"/414€2Attest as DEPUTY Chairman Donna Fiala,District 1 Commissioner signature only, Approval for form and legality:. _ Jenm er .Belpedio 0. \\� Assistant County Attorn INSTR 5312677 OR 5314 PG 914 RECORDED 9/15/2016 2:11 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC$10.00 Prepared by:Wendy Klopf Collier County 1 6 D (� Community and Human Services `�J( 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 Miguel Garza&Suzanna Martinez to COLLIER COUNTY, recorded on 09/21/1995 in Official Records Book 2101 ,Page 1509 , of the Public Records of Collier County,Florida,securing a principal sum of$5,000.00 and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. This Satisfaction of Mortgage was approved by the Board of County Commissioners on - 9 f 13 , 2016,Agenda Item Number \R0 I$ ATTEST: BOARD COUNTY C MMISSIONERS DWIGHT E BROCK,CLE OF CO R COUNTY, LORIDA By: K,ti`6'r By; ,DF,PUTY Cif Chairman Donna Fiala,District 1 Commissioner Attest as to Chairman s I signatvereetwor form and legality: Jenm er A.Belpecr (7� `�� Assistant County Attorney c�l>l '2)