Backup Documents 05/28/2019 Item #16D1 ORIGINAL DOCUMENTS CHECKLIST & ROUTIT 111-V e&- 5{30
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 01 4
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 Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 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#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Elizabeth Hernandez Community and HumanS/23//1
Services
2. Jennifer Belpedio County Attorney Office 5 a$P
3. BCC Office Board of County Wl.-kms.
Commissioners \N/S// \zM\c)
4. Minutes and Records Clerk of Court's Office 23
)-4t'i 3--
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 missing information.
Name of Primary Staff Elizabeth Hern dez/CHS Phone Number 252-2903
Contact/ Department
Agenda Date Item was 5/28/2019 Agenda Item Number 16.D.1.
Approved by the BCC
Type of Document Satisfaction of Mortgage Number of Original
Attached Documents Attached 1
PO number or account Account string$10 recording fee:
number if document is 791-138791-649030-33569.1
to be recorded
INSTRUCTIONS & CHECKLIST
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? S.fl P f y l c
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
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 EH
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 EH
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 EH
signature and initials are required.
7. In most 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 05/28/2019 and all changes made during the N/A is
meeting have been incorporated in the attached document. The County Attorney's an Opti
Office has reviewed the changes,if applicable. this-tine.'
9. Initials of attorney verifying that the attached document is the version approved by the ;0014 is
BCC,all changes directed by the BCC have been made,and the document is ready forth n optto
Chairman's signature. this line.
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
al. 6D1 '
INSTR 5720313 OR 5636 PG 832
RECORDED 6/1/2019 9:34 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:I Elizabeth Hernandez COLLIER COUNTY FLORIDA
Collier County REC$10.00
Community and Human 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 Renel Berrette and Betie Berrette, Husband and Wife to COLLIER COUNTY,
dated May 30, 2000 and recorded on 5/31/2000 in Official Records Book 2681 Page 11117 of the Public •
Records of Collier County, Florida, securing a principal sum of $2,500.00 and certain promises and
obligations set forth in said Mortgage,upon the property described in the aforementioned mortgage.
'COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage,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 -
6/ e/0-00 ,2019,Agenda Item Number /6,p, 1. .
ATTEST: BOARD OF 0,4 TY CO ' '4 ISSIO .ERS
CRYSTAL K.KINZEL GI ARK OFC PITY,FLO' D
•
-'
CUL — �,
414 !` , LLIAM L.MCDANIEL,JR., HAIRMAN
Attest as to ►r• :
signature Only.
Approval for form and legality:
Jenni er A.Belpedi
Assistant County Attorney