Backup Documents 01/08-09/2013 Item #16A12ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU 1 Z$(c3
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Oftic
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.
to i6 Al
Complete routing lines #I through #2 as appropriate for additional signatures dates and/or information needed. If the document is ahead to
exception of the Chairman's siffnature_ draw a line. thronah rr,,,t ;, i ;— y 7 tt.-,... u an _ -__,_._ .�
draw
-- -___- -.. _ ..
Route to Addressees (List in routing order)
u.,,., ... —2-1 — ,,,,,,, iew u,c chru nst, and
Office
forward to me coup
Initials
Attorney Office.
Date
1.
appropriate.
Initial
Applicable)
2.
1/8/2013
Agenda Item Number
16.A.12
3. County Attorney Office
County Attorney Office
Type of Document
Release of Lien
Number of Original
A�6
4. BCC Office
Board of County
Commissioners
Documents Attached
� S�1
5. Minutes and Records
Clerk of Court's Office
PRIMARY CON'T'ACT 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 fnr ndd;t;onnl — m;ce;na ;,,F
Name of Primary Staff
Jen Baker /C a Enforcement
Phone Number
252 -2444
Contact / Department
appropriate.
Initial
Applicable)
Agenda Date Item was
1/8/2013
Agenda Item Number
16.A.12
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
Type of Document
Release of Lien
Number of Original
1
Attached
I
Documents Attached
PO number or account
111- R& 11+64
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
INSTRUCTIONR Re. CHV WIr .iCT
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, is 2.24.05; Revise /30/12
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?
2.
Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information (Name; Agency; ; Address; Phone) on an attached sheet.
'' 11
J D
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
by the Office of the County Attorney.
4.
All handwritten strike - through and revisions have been initialed by the County Attorney's
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
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
l
signature and initials are required.
(t/
7.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to the County Attorney Office at the 'me the item is input into SIRE.
Some documents are time sensitive and require forward' g to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be awar of Your deadlines!
8.
The document was approved by the BCC on 1/8/13 Ind all changes made during 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
It
BCC, all changes directed by the BCC have been made, and the document is ready for th
Chairman's signature.
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, is 2.24.05; Revise /30/12
This Instrument Prepared By:
Jen Baker
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252 -2440
16 Al2
INSTR 4791786 OR 4879 PG 2813
RECORDED 1/29/2013 9:37 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00
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:
Tricia Jenks,
Respondents
The lien was recorded on July 7, 2010 in Official Records Book 4583, Page 2803, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of
One Thousand eight hundred eighty three dollars and fifteen cents, plus accrued interest
and penalties, if any, and imposes certain obligations against real property situated in
Collier County, Florida, which property is described as follows:
GOLDEN GATE EST UNIT 11 TR 92
830 3rd St NW Naples, FL
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 said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction
of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien
ceases to exist.
ATTEST
DWIGHT E. BROCK, Clerk
Or
Approved as to f6rm and legal sufficiency
Jeff ight
Assi ant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIFR\gOVNTY, KORIDA
M
a A( Hiller, Esq.,
Chairwoman