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Backup Documents 12/10-11/2013 Item #16D 1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 z t 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 Countyorn Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County AttorneIn6oly t than Monday preceding the Board meeting. **NEW** ROUTING SLIP 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 Chairman's signature, draw a line through routing lines #I through #2, complete the checklist, and forward to the County Attorney Office. Route to Addressees (List in routing order) Office Initials Date 1. Wendy Klopf HHVS *10 12/10/13 2. Jennifer Belpedio County Attorney Office 4� t -L `-a,\ 3. BCC Office Board of County CommissionersZ_ NA 1/ 4. Minutes and Records Clerk of Court's Office --w— 5 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 missine information. Name of Primary Staff Wendy Klopf/HHVS Phone Number 252-2901 Contact / Department appropriate. Initial Applicable) Agenda Date Item was 12/10/13 Agenda Item Number 16.13.1 Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, NA 1/ Type of Document Satisfaction of Mortgage -5 Number of Original 5 Attached Original document has been signed/initialed for legal sufficiency. (All documents to be Documents Attached PO number or account Please use HHVS grant Admin Account to number if document is pay for fees to record mortgages. to be recorded HOME Account -705 -138705 -33290.1 -for NA Howard & Williams 5. CDBG Account -705-138705-33289.1 for WK Flores, Sidbury & Gould. INSTRUCTIONS & CHECKLIST Chairman's signature. , rJ 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 No -}c. ho►)ar^d SQA-is-��fi c5 �5 iAj bcjC v_up 4o agenda 41v%ce. Dv led d rumenf 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? WK 2. Does the document need to be sent to another agency for additional signatures? If yes, NA 1/ 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. Inmost 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 12/10/13 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 WK (� BCC, all changes directed by the BCC have been made, and the document is ready for the CYj� Chairman's signature. , rJ 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 No -}c. ho►)ar^d SQA-is-��fi c5 �5 iAj bcjC v_up 4o agenda 41v%ce. Dv led d rumenf 16D 1 INSTR 4925079 OR 4993 PG 207 RECORDED 12/17/2013 12:09 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Prepared by: Wendy Klopf REC $10.00 Collier County - — — Housing, Human & Veteran Services 3339 E. Tamiami Trail Suite 211 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 Vanessa A. Howard to COLLIER COUNTY, recorded on March 14, 2008 ,in Official Records Book 4339 Page 0117 , of the Public Records of Collier County, Florida, securing a principal sum of $ 12,605.50 and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges that the terms of the Mortgage have been met, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. Dated this -12- day of December , 2013. 10 *" & ATTEST4` ' �yF DWI(-I'T E. 8RO640erk Deputy Clerk Attesfas ib'arrian's signature only. BOAP OF COUNTY COMMISSIONERS CO IE JC0 TY, FLORIDA By: G o gia A. Hiller, Esq. Chairwoman Approved to form and legality: t~� Jennifer A. Belpedio Assistant County Attorn I13 INSTR 4925080 OR 4993 PG 208 RECORDED 12/17/2013 12:09 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC $10.00 Prepared by: Wendy Klopf Collier County Housing, Human & Veteran Services 3339 E. Tamiami Trail Suite 211 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 Novella Williams to COLLIER COUNTY, recorded on November 04, 2008 ,in Official Records Book 4405 , Page 1881 of the Public Records of Collier County, Florida, securing a principal sum of $14,925.00 and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges that the terms of the Mortgage have been met, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. ++-% Dated this ft' ��day of December , 2013. ATTEST: BOARD(F C T COMMI IONERS DWIGHT, $ROCK,,'lek COLLIE CO T , FL RI ry L?eputy Clerk Geor 'a A. Miller, Esq. Chairwoman Attest as to Chaifmatk_ signature only. Approved to form and legality: Jennifer A. Belpedio Assistant County Attorney 16D1 INSTR 4925071 OR 4993 PG 197 RECORDED 12/17/2013 12:03 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC $10.00 Prepared by: Wendy Klopf Collier County Housing, Human & Veteran Services 3339 E. Tamiami Trail Suite 211 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 Joseph Flores & Jennifer Flores to COLLIER COUNTY, recorded on November4, 200s ,in Official Records Book 4405 , Page 1838 , of the Public Records of Collier County, Florida, securing a principal sum of $ 8,155.00 and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges that the terms of the Mortgage have been met, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. IO Dated this 4-1 day of December , 2013. c3a.b ATTEST: DWIGHT X131 ( K, Clerk B ' Deputy Clerk west as to Chauati L(Mlo Approved to form and legality: Jennie A. Belpedio Assistant County Attorney BOA F �_�Uu TY COM ISSIONERS COLL R UN Y, LO DA i By: Georgia A. Hiller, Esq. Chairwoman INSTR 4925072 OR 4993 PG 198 RECORDED 12/17/2013 12:03 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC $10.00 Prepared by: Wendy Klopf Collier County Housing, Human & Veteran Services 3339 E. Tamiami Trail Suite 211 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 Lori Sidbury to COLLIER COUNTY, recorded on December 10, 2008 ,in Official Records Book 4412 Page 3365 of the Public Records of Collier County, Florida, securing a principal sum of $ 5,342.00 and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges that the terms of the Mortgage have been met, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. 10+" Dated this 42' day of December _'2013. 1%-011?> ATTEST: BOATRU TY COMMISSIONERS DWIGHT E. 1340CK 'Gkrk > COL Y, LORIDA By. eli4y Clerk G' or to A. FWer, Esq. Chairwoman Attes6$ ' Chairman signature Ana,, Approved to form and legality: Jenni A. Belpedio Assistant County Attorney 16D1 INSTR 4925073 OR 4993 PG 199 RECORDED 12/17/2013 12:03 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC $10.00 Prepared by: Wendy Klopf - - - Collier County Housing, Human & Veteran Services 3339 E. Tamiami Trail Suite 211 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 Gladys Gould to COLLIER COUNTY, recorded on June 13, 2008 ,in Official Records Book 4369 , Page 3309 , of the Public Records of Collier County, Florida, securing a principal sum of $11.625.00 and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges that the terms of the Mortgage have been met, and surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of record. y-6' Dated this tz �� day of December , 2013. ATTEST: BO F COUNTY MMISSION] DWIGHT E, BROCK,'Clerk" C LL C UNTY, ORIDA B B Deputy Clerk G rgia A. Hiller, Esq. Chairwoman Attest as°toiir�lan'� signature only. Approved to form and legality: lck-ol Jennifer A. Belpedio Assistant County Attot