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Backup Documents 02/26/2013 Item #16D 1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP WA10 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 Attorney2ffice no later than Monday preceding the Board meeting. 6 Complete routing lines #I through #2 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the exception of the Gttatrman -s signature, draw aline tnrough routing lines p 1 tttrou #2, coin fete the cnecKltst, ana torwara to tie l:oun Attorne Vince. Route to Addressees (List in routing order) Office Initials Date 1. Barbetta Hutchinson HHVS -, _ 1 , n 2. Jennifer B. White, ACA Office located in HHVS County Attorney Office Department 3. BCC Office Board of County Commissioners 4. Minutes and Records Clerk of Court's Office 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, mav need to contact staff for additional or missing information. Name of Primary Staff Barbetta Hutchinson Phone Number 252 -4228 Contact / Department appropriate. Initial Applicable) Agenda Date Item was 2/26/13 Agenda Item Number 16D1 Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, N/A Type of Document Satisfaction of Mortgage Number of Original 1 Attached Original document has been signed/initialed for legal sufficiency. (All documents to be Documents Attached PO number or account $EE ATTUCA.1 s d c4a r C K number if document is by the Office of the County Attorney. ) to be recorded W 0F1= I CE Y C0N9 -A-D W1 L.t —r<Vmr % INSTRUCTIONS & CHECKLIST 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 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? Y 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A 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 Y 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 Y 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 Y 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 Y signature and initials are required. 7. In most cases (some contracts are an exception), the original document and this routing slip N/A should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwardiri to Tallahassee within a certain time frame or the BCC's actions are nullified. Be awarqfof your deadlines! 8. The document was approved by the BCC on 2/26/13 nd all changes made during the Y 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 ro� 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 16 INSTR 4 0 1 808424 OR 4893 PG 2319 RECORDED 3/7/2013 12:46 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Prepared by: COLLIER COUNTY FLORIDA Collier County REC $10.00 Housing, Human & Veteran 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 WILLIAM MONK to COLLIER COUNTY, recorded on October 10, 2007, in Official Records Book 4291 Page 0721, of the Public Records of Collier County, Florida, securing a principal sum of $15,645.00 and certain promises and obligations set forth in said Mortgage, upon the property situated in said State and County as more fully described in said Mortgage. COLLIER COUNTY hereby acknowledges payment and satisfaction of said Mortgage, in accordance with Collier County Short Sale Policy, approved by the Board of County Commissioners on February 28, 2012, Agenda Item 16.D.7, 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 - FZ bi ua fq eD (g , 2013, Agenda Item Number ATTEST BOA C LINTY OMMISSIONERS DWIGHT-,} M Clerk COCKER (�C N�TY, LORIDA 1 By: 5 �S 0 8f . ®.. y Deputy Clerk E IA A.HILLER, ESQ., sigiture �� C IRWOMAN Approved as to form and legal sufficiency: Jenni er B. White Assistant County Attorney