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Backup Documents 12/01/2009 Item #16A8 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 A 8 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU~ ' 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!!.!kr the Board has taken action on the item.) ROUTING SLIP Complete routing lines # I through #4 as appropriate for additional sl{,'llatures, dates, and/or infonnallon needed_ If the document is already complete with the exception of the Chainnan's sie:nature, draw a line throueh wulin!! lines # 1 throueh #4, complete the checklist, and forward to Sue Filson (line #5). Route to Addressee(s) Office Initials Date (List in routing order) 1. Judy Puig CDES Administration 0R la-I, f b 1 2. 3, 4, 5 Ian Mitchell, Supervisor, BCC Office Board of County .A/'- n h I 09 Commissioners 6, Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION (The primary contoc;l 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 dle addressees ahove, including Sue Filson, need to cmtact staff for additional or missing information. All original documents needing the Bee Chairman's signature are to be ddivered to the BCe office only after the BCC has acted to approve the item.) Name of Primary Staff Marlene Serrano Phone Number 252-2487 Contact Agenda Date Item was December 1,2009 Agenda Item Number 16A8 Approved by the BCC Type of Document Release of Lien Number of Original 1 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 Officials.) All handwritten strike-through and revisions have been initialed by the County Attorney's Office 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 lotiated 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 fOf\varding 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 BCC on 12/01/09 (enler date) and all changes made during the meeting have been 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, w N/ft ~ W I: Forms/ County Forms/ Bee Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised ].26.05, Revised 2.24.05 16A 8 This Instrument Prepared By: Marlene Serrano Code Enforcement Department 2800 North Horseshoe Drive Naples, FL 34104 (239) 252-2440 INSTR 4369437 OR 4515 PG 1223 RECORDED 12/4/2009 932 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: Kerry Hyppolite , Owner The lien was recorded on 05/16/2008 in Official Records Book 4367, Page 0422, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of thirty-one thousand seven hundred eighty-four dollars and seventy-four 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: 2640 Santa Barbara Blvd, Naples, FL 34116 Cost: $18,396 (by negotiated settlement) 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 Iilf Lien, by action of the Board on this / s-l- day of 'bPCU(\~r' , 2009. ATTEST '. DWIGHT E. BROCK, Clerk BOARD OF c;pUNTY COMMISSIONERS COLLlERf,PfNTY, FLORID'1 _ ~f/ ,J. ,/J "; ~/ <;>/ Ltt-YI(" By: Donna Fiala, Chairman ri ht t County Attorney