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Backup Documents 03/09/2010 Item #16A4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 A 4 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. Original documents slllmld be hand delivered to the Board Otlice. The completed routing slip !U1d original documents are to be forwarded to the Board Office only after the Board ha~ taken action on the item.) ROUTING SLIP Complete routing lines #1 through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the exccDtion of the Chairman's siunature, draw a line through routinlZ lines # 1 throue:h #4, comnlcte the checklist. and forward lo Sue Filson line #5). Route to Addressee(s) Office Initials Date (List in routing order) 1. Judy Puig CDES Administration ~ W '3\C\\ ~IO 2. 3, 4, 5 Ian Mitchell, Supervisor, BCC Office Board of County ~ '3/13110 Commissioners 6, Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending Bee approval. 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, including Sue Filson, need to contact staff for additional or missing infonnation. All original documents needing the Bee Chairman's signature are to be delivered to the liCC olTice only aiter the BCe has acted 10 approve the item.) Name of Primary Staff Marlene Serrano Phone Number 252,2487 Contact Agenda Date Item was March 9, 2010 Agenda Item Number 16A4 Aooroved bv the BCC Type of Document Release of Lien Number of Original I Attached Documents Attached 1. INSTRUCTIONS & CHECKLIST Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is a ro riate. 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, This includes signature pages from ordinances, resolutions, etc, signed by the County Attorney's Office and signature pages from contracts, agreements, etc, that have been fully executed by all parties except the BCC Chairman and Clerk to the Board and ossibly State OtTicials,) All handwritten strike-through and revisions have been initialed by the County Attorney's OtTice and all other arties exce t the BCC Chairman and the Clerk to the Board The Chairman's signature line date has been entered as the date ofBCC approval of the document or the final ne otiated contract date whichever is a licable. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's si nature and initials are re uired. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. 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 our deadlines! The document was approved by the Bee on 03/09/10 (enter date) and all changes made during the meeting have heen incorporated in the attached document. The Count Attorne 's Office has reviewed the chan es, if a licable. Yes (Initial) N/A (Not A licable) 2, 3, 4, 5, 6, 9f N/A I: Formsl County Forms! Bee Formsl Original Document~ Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 16A 4 This Instrument Prepared By: Marlene Serrano Code Enforcement Department 2800 North Horseshoe Drive Naples, FL 34104 (239) 252-2440 INSTR 4404758 OR 4545 PG 1547 RECORDED 3/12/2010 10.10 AM PAGES 1 DWIGHT E. BROCK COLLIER COUNTY CLERK OF THE CIRCUIT COURT REC $1000 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: Samuel Lee Miller, Jr. The lien was recorded on 04/19/2007 in Official Records Book 4215, Page 4142, in the Official Records of Collier County, State of Florida, The lien secures the principal sum of Ten Thousand Six Hundred dollars and zero cents, plus costs and penalties, if any, and imposes certain obligations against real property situated in Collier County, Florida, which property is described as follows: 4814 Myers Road, Immokalee, FL 34142 Collier County, a political subdivision of the State of Florida, by execution of this Release and Satisfaction of Lien, acknowledges payment as full 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 IN WITNESS WHEREOF, the Board of County Commissioners of Collier County, Florida, acting through its Chairman directs execution and recording of this Release and Satisfaction of Lien, by action of the Board on this C>;-u, day of /ntf1rC,,"- ,2010, ATTEST DWIGHT E, BROCK, Clerk BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA " ~.J._ w C~~ Fred W, Coyle, Chairman' By: .