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Backup Documents 04/25/2017 Item #16D1 • 0 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 Lk`?(P 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 04.25.17 Services 2. County Attorney Office County Attorney Office ' Cd6?) 4--/014 3. BCC Office Board of County \ Commissioners c/ J�I AV-S\t,'j 4. Minutes and Records Clerk of Court's Office 49-4r7 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/ S Phone Number 252-2901 Contact/ Department / Agenda Date Item was 04.25.17 Agenda Item Number p �// Approved by the BCC Type of Document Satisfaction of Mortgage Number of Original 3 `' i'"k Attached Documents Attached PO number or account Please use the CDBG Admin account string number if document is for recording: to be recorded 705-138705-882100-33479.1 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? v`1 P o Lam,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 04.25.17 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 the 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 INSTR 5397370 OR 5387 PG 2958 RECORDED 4/27/2017 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 Services 3339 E.Tamiami Trail I 6 LI 1 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 Gracie Goff to COLLIER COUNTY, dated 04/09/2007 and recorded on 08/01/2007 in Official Records Book 4265 Page 0220 of the Public Records of Collier County, Florida, having met the affordability housing obligation associated with the $30,125.00 of CDBG funds and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage and satisfaction of said Mortgage, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. This Satisfaction of Mortgage was approved by the Board of County Commissioners on - r� , 2017, Agenda Item Number \Lj)U 1 ATI ST:_:�� _ BOAI 0 CO J TY COMMISSIONERS D . G T E. BR!' CLERK OF CO OUNTY, FLORID • i By.jktiest as to / i> 3illikiTLERK. PENNY T OR, CHAI'. r$ PAROOtalli and legality: Jennifer A. Belpedio (12 Assistant County Attorney _1./ INSTR 5397371 OR 5387 PG 2959 RECORDED 4/27/2017 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 Services 3339 E.Tamiami Trail 1 6 1 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 Isaac Dennis to COLLIER COUNTY, dated 04/12/2006 and recorded on 08/15/2006 in Official Records Book 4088 Page 4103 of the Public Records of Collier County, Florida, having met the affordability housing obligation associated with the $17,150.00 of CDBG funds and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage 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 - f\ c .1 , , 2017, Agenda Item Number M V V) 1 . ATTEST: BOARD to 'O ► TY COMMISSIONERS 4W to E. BRO' -CLERK OF COL •LINTY, FLORID .i' By: 'Aiicist as ta it. r' }'CLERK PENNY TAY",CHAP FrilurApproval tor out and legality: `J JenniA. Belpedio /\ Assistant County Attorney C7" INSTR 5397372 OR 5387 PG 2960 RECORDED 4/27/2017 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 Services 1 6' 0 3339 E.Tamiami Trail i 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 Tamre Church to COLLIER COUNTY, dated 01/31/2007 and recorded on 03/06/2007 in Official Records Book 4192 Page 2255 of the Public Records of Collier County, Florida, having met the affordability housing obligation associated with the $19,118.75 of CDBG funds and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage 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-I• \ a,5 , 2017, Agenda Item Number )LO 1 . ATTEST: ' , BOAR I► t TY COMMISSIONERS DW HT E.BRO , CLERK OF CO - •' COUNTY,FLORI P • ' ,A By est aS't0 P4��1':C11 1(� ;, LERK PENNY T OR,CHAI'10 i -i3r!7.*. ol1. Approval:f' r.. rm and legality: �A1� JenniT�r A. Belpedio illi Assistant County Attorne 7 /h\