Backup Documents 12/13/2016 Item #16D21 6
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.
**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.
2.
3. County Attorney Office County Attorney Office KN 1112246
4. BCC Office Board of County
Commissioners \r14 / A 43V
5. Minutes and Records Clerk of Court's Office I tall 3 J►b 3` mel"
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 Kevin Noell,Assistant County Attorney Phone Number 252-8400
Contact/ Department
Agenda Date Item was 12/13/2016 Agenda Item Number
Approved by the BCC 1 t, 'Z-\
Type of Document Satisfaction of Mortgage-White 16-CA-1715 Number of Original 1
Attached Documents Attached
PO number or account n/a
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? ,-„ KN
2. Does the document need to be sent to another agency for additional signature ? If yes, KN
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 KN
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's KN
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 KN
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 KN
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip KN
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 12/13/16 and all changes made during KN
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 fo the
Chairman's signature.
[16-CA-1715/1305054/1] II:Forms/County Forms/BCC Forms/Original Docume ..t outin_ WWS Original
9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
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160 21
MEMORANDUM
Date: November 14, 2016
To: Kevin Noell, Assistant County Attorney
County Attorney's Office
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Satisfaction of Mortgage — Melissa D. White
Attached is the original document as referenced above, (Item #16D21) approved by the
Board of County Commissioners on Tuesday, December 13, 2016.
If you have any questions, please contact me at 252-8411.
Thank you.
I 60
2
Prepared by:Elizabeth Hernandez
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 Melissa D. White, a single person to COLLIER COUNTY, dated August 11,
2006;and recorded on August 18, 2006 in Official Records Book 4091 Page 1890 of the Public Records
of Collier County, Florida,securing a principal sum of $23,435.00 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 December 13,
2016,Agenda Item Number k(o-.C2) -2 ";.
ATTEST: = 'n BOA_' s OF COUNTY COMMISSIONERS
DWI HT E.BROC►,CLERK OF Cl IER COUN • ,FLORIDA
By:
, 'UTY CLERK ISonna Fiala,Chairman
signature, I �.
Approval for form and le ality:
Kevin L.Noell
Assistant County Attorney
[16-CA-1715/1303808/1]