Backup Documents 07/27-28/2010 Item #16A 6ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP L
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO p A 6
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has 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
exception of the Chairman's signature, draw a line through routing lines # 1 through #4, complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
1. Judy Puig
GMD Planning &
Regulation/Operations
(Initial)
Applicable)
��
0
2.
16A6
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signed by the Chairman, with the exception of most letters, must be reviewed and signed
3.
Type of Document
Release of Lien
4.
1
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
5 Ian Mitchell, Supervisor, BCC Office
Board of County
Commissioners
I
6. Minutes and Records
Clerk of Court's Office
Chairman and Clerk to the Board and possibly State Officials.)
9 as VETO 81910] .1105 KN I [owl
(The primary contact is the holder of the original document pending BCC 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
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff
Marlene Serrano
Phone Number
252 -2487
Contact
appropriate.
(Initial)
Applicable)
Agenda Date Item was
July 27, 2010
Agenda Item Number
16A6
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Release of Lien
Number of Original
1
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & CHECKLIST
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(Initial)
Applicable)
1.
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 possibly State Officials.)
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's
N
Office and all other parties except the BCC Chairman and the Clerk to the Board
3.
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.
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4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
si nature and initials are required.
5.
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 your deadlines!
6.
The document was approved by the BCC on 07/27/10 (enter date) and all
changes made during the meeting have been incorporated in the attached document.
The County Attorney's Office has reviewed the changes, if applicable.
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
This Instrument Prepared By:
Jeff E. Wright , Assistant County Attorney
Collier County Attorney's Office
3001 E. Tamiami Trail
Naples, FL 34112
(239) 252 -8400
16A6
INSTR 4458469 OR 4590 PG 2102
RECORDED 7/30/2010 8:59 AM PAGES 1
DWIGHT E. BROCK
COLLIER COUNTY CLERK OF THE CIRCUIT COURT
REC $10.00
RELEASE AND SATISFACTION OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a
certain lien against all real and personal property owned by:
Israel and Delma Gallegos, Respondents
The lien was recorded on March 31, 2010 in Official Records Book 4551, Pages 1252 -53.
The lien secures the principal sum of eleven thousand four hundred eighty -six dollars and
forty -five cents, plus accrued interest and penalties, if any, and imposes certain obligations
against real property situated in Collier County, Florida, which property is described as
follows:
1318 Pear Street, Immokalee, FL
Folio No. 30731280004
Collier County, a political subdivision of the State of Florida, by execution of this Release
and Satisfaction of Lien, acknowledges payment as full satisfaction of the lien and hereby
cancels said lien.
The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction of
Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases
to exist.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County, Florida,
acting through its Chairman directs execution and recording of this Release and
Satisfaction of Lien, by action of the Board on this 1 day of
2010.
ATTEST
DWIP °T%E' BROCK, Clerk
• �' , , .. T u y Clerk
Apoved.a$: o -and legal sufficiency
K14
Jet E. Wright
AsAisant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: W. C"j,
Fred W. Coyle, Chairma