Backup Documents 07/09/2019 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO D 3
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. JASON RUMMER Community and Human PS. 07.09.2019
Services
2. Jennifer Belpedio County Attorney Office 7 ‘9
3. BCC Office Board of County BUJ V-
Commissioners \ 4/ -\\`‘t\C\
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,may need to contact staff for additional or missing information.
Name of Primary Staff JASON RUMMER CHS Phone Number 252-5505
Contact/ Depar tiuent
Agenda Date Item was 07.09.2019 ✓ Agenda Item Number 16.D.3
Approved by the BCC
Type of Document SHIP Satisfaction of Mortgage Number of Original 4
Attached Documents Attached
PO number or account 123-155974-649030-32000.1
number if document is
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? p 0 vcApi
2. Does the document need to be sent to another agency for additio 1 signatures? If yes, ,. JNR
provide the Contact Information(Clerk of Courts)on an attached shee .
3. Original document has been signed/initialed for legal sufficiency. (All documents to be JNR
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 JNR
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JNR
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 allahassee within a certain
time frame or the BCC's actions are nullified. Be aware of our deadlines!
8. The document was approved by the BCC 07/09/2019 d all changes made during the 4.
meeting have been incorporated in the attached document. The County Attorney's 4}® ' ..'
Office has reviewed the changes,if applicable.
M.,;%OWAPO
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 _
Chairman's signature. Alli'44
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
I 6 fl3 ,
INSTR 5737959 OR 5651 PG 570
RECORDED 7/11/2019 9:10 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:[Jason Rummer I REC$10.00
Collier County
Community and Human Services
3339 E.Tamiami Trail - 1
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 TANIIA.MI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain Mortgage
executed by Annatalia Hyppolite and Micheley Felix, a Married Couple to Collier County, dated January
7,2011 and recorded on January 10,2011 in Official Records Book 4641 Page 1356 of the Public Records
of Collier County, Florida, securing a principal sum of $4,200.00 of SHIP and certain promises and
obligations set forth in said Mortgage,upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges satisfaction of said Mortgage, and surrenders the same as
cancel led,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 July 9, 2019,
Agenda Item Number /C,
ATTEST: BOARD OF Cyr; CO i. SIONERS
CR TAL I<.KINZEL,CLERK OF L I �� ,FLORI I • 0110
fi DE"' E WIL AM L. MCI • IEL,JR.,CI e RMAN
Attest.asto ns�
legality:
f
Jen fer A.Betpedi, 01
Assistant County Atto • yV}92C`\
t0
1
4A A
INSTR 5737960 OR 5651 PG 571
RECORDED 7/11/2019 9:10AM PAGES 1
Prepared by:Jason Rummer '! CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Collier County COLLIER COUNTY FLORIDA
' Community'and Human Services REC$10.00
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 Shannon G. Brown and Liudmila V. Brown, a Married Couple to Collier County, dated
February 11,2009 and recorded on March 17,2009 in Official Records Book 4435 Page 3334 of the Public
Records of Collier County, Florida, securing a principal sum of$4,600.00 of SHIP and certain promises
and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges 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 July 9, 2019,
Agenda Item Number /6/�1-3r.
ATTES : BOARD OF Cy; • • , '4 SSIONERS
CRYSTA K;.KINt EL,CLERK OFal .11j Y,FLO' "A Alk
C'
By:.. c • By: ;416.
DEl' Y C WI AM L.M 9 • IEL,JR.,Cz''IRMAN
Attest as��to C tris
App a"I'o forrm�nd legality:
Ilk
Jenni er A.Belpedio \\ \
Assistant County Attorn-i \�4 1
1603
INSTR 5737961 OR 5651 PG 572
RECORDED 7/11/2019 9:10 AM PAGES 1
Prepared by:'Jason Rummer CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Collier County COLLIER COUNTY FLORIDA
,Community and Human Services REC$10.00
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 Roderick McDonald and Tania McDonald,a Husband and Wife to Collier County,dated April
29, 2004 and recorded on May 7, 2004 in Official Records Book 3558 Page 1293 of the Public Records of
Collier County,Florida,securing a principal sum of$2,500.00 of SHIP)and certain promises and obligations
set forth in said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges 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 July 9, 2019,
Agenda Item Number{ /6,D, 3
ATTEST: BOARD OF C• -: A MISSIONERS
CRYSTAL K. KJNZEL, CLERK OF OLL 1111 TY,FLO A 411
/10
AW astl• ,�:r s, .
-41PWI AM L. M .`.�+, ' IRMAN
si iiure .g
Approval for Form and legality:
Jenm er A. Belpedio 0
Assistant County Atto C� C
INSTR 5737962 OR 5651 PG 573 6 U('] 3
RECORDED 7/11/2019 9:10 AM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Prepared by:Jason Rummer 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 Mario F. Castillo and Maria D. Castillo,a Husband and Wife to Collier County, dated January
26,2007 and recorded on February 1,2007 in Official Records Book 4177 Page 0372 of the Public Records
of Collier County, Florida, securing a principal sum of $28,011.00 of SHIP and certain promises and
obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges 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 July 9, 2019,
Agenda Item Number /C,D r
ATTEST: BOARD OF go • MISSIONERS
CRYSTAL KINZEL,•CESRK eff
• 04y) • • D
By m, r 4€ • -C • By: _ 44.
D r I LLIAM L. ' DANIEL,JR. AIRMAN
Mean 10 r7.
sionafore only.
Approval fof�fg ndlergality:
Jen er A.Belppe io O \\0\
Assistant County Atto 9- \�