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Backup Documents 10/10/2017 Item #16A10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 0 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16410 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE „ **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 10/10/17 4. BCC Office Board of County \'-k Commissioners \- /5/ c,� �a�� �\ 5. Minutes and Records Clerk of Court's Office (Oki( l57 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 Nancy Cardinal Lower,Code Enforcement Phone Number 252-2436 Contact/ Department Agenda Date Item was 10/10/17 Agenda Item Number 16-A-10 Approved by the BCC Type of Document Release and Satisfaction— ORI&BHNV Number of Original 1 Attached LLC Documents Attached PO number or account number if document is t t t .13 t t- a 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? STAMP OK KN 2. Does the document need to be sent to another agency for additional signatures? 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 KN 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 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 10/10/17 and all changes made during KN N/A is not the meeting have been incorporated in the attached document. The County an option for Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by th KNla� /A is not BCC,all changes directed by the BCC have been made,and the document is ready f the+,�` • option for Chairman's signature. V• . k is line. [04-COA-01081/1344829/111: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 16A10 This Instrument Prepared By: Marlene Serrano Code Enforcement Division 2800 North Horseshoe Drive Naples, FL 34104 (239) 252-2440 RELEASE AND SATISFACTION OF LIEN KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a certain lien against all real and personal property owned by: ORI & BJNV LLC, Respondent The lien was recorded on February 12, 2016, in Official Records Book 5241, Page 3222, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of twenty one thousand six hundred dollars ($21,600), plus accrued interest and penalties, if any, and imposes certain obligations against real property situated in Collier County, Florida. Collier County, a political subdivision of the State of Florida, by execution of this Release and Satisfaction of Lien, acknowledges payment as approved by the Board of County Commissioners as satisfaction of the lien and hereby cancels and releases said lien. The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction of Lien in the Official Rer-cords of Collier County, Florida, to acknowledge that the lien ceases to exist. ATTEST;"- BOARD OF COUNTY COMMISSIONERS DWIGIF E. BROG , Clerk COLLIE' C! • oTY, FLORIDA -"t By: //' _ Attst as't,4'Cha rman beputy Clerk Penny Tay • hairma , 11;l1 Lure Date: �� Date: ,0\toy`A Approved as to form and legality --- 7,"7 Kevin Noell Assistant County Attorney INSTR 5457666 RECORDEp OR 5439 PG 1170 DWIGHT E 10/11/2017 3:53 PM ._ _ 1 COLLIER COUNTY CLERK OF THE REC$10 00 NTY FLORIDA CIRCUIT COURT [17-CED-01276/1362511/1]