Backup Documents 09/29/2009 Item #10H
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 0 H
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 taktln action on the item.)
ROUTING SLIP
Complete routing lines # I through #4 as appropriate for additional signatures, dates, and/or infonnation netlded. If the document is already complete with the
exce tion of the Chainnan's si nature, draw a line throu h routin lines #1 throu h #4, com lete the checklist, and forward to Sue Filson (line#5).
Route to Addressee(s) Office Initials Date
(List in routin order
1. Judy Puig
CDES Administration
2.
3.
4.
5. SUI.- Fa~on, Executive Manager
lA-N lk cu e u....
6. Minutes and Records
Board of County Commissioners
ql~ 07
Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(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 conmct infonnation is needed in the event one ofttlC addressees above, inc!llling Sue Filson, need to contact stafl'for additional or missing
information. All original documents necding thc BCC Chairman's signaturc arc to bc dclivcred to thc BCC office only aftcr thc BCC has actcd to approvc thc
item.)
Name of Primary Staff Marlene Serrano Phone Number 252-2487
Contact
Agenda Date Item was September 29, 2009 Agenda Item Number 10H
Approved by the BCC
Type of Document Executive Summary - Release and Number of Original 1
Attached Satisfaction of Lien. Documents Attached
I.
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 ossibl 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 of BCC 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 Sue Filson 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 BCC on ~ ./29/09 (enter 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 Iicable.
Yes
(Initial)
N/A (Not
A licable)
2.
3.
4.
5.
6.
~
N/A
C(f
I: Fonns! County Forms! BCC Forms! Original Documents Routing Slip WWS Original 9.03.04. Revised 1.26.05, Rcvised 2.24.05
lOH
This Instrument Prepared By:
Jen Waldron
Code Enforcement Department
2800 North Horseshoe Drive
Naples, FL 34104
(239) 252-2440
INSTR 4347477 OR 4496 PG 2454
RECORDED 10/2/2009339 PM 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:
Everardo G. Guzman & Graciela Guzman, Owner
The lien was recorded on 3/11/2009 in Official Records Book 4434, Page 1324, in the
Official Records of Collier County, State of Florida. The lien secures the principal sum of
Six Thousand Six Hundred dollars zero 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:
510 Auto Ranch Road Naples, FL 34114
Cost: $6,600.00
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
L .S?ltisfaction of Lien, by action of the Board on this ~ q-t, day of
. '. , ~luY1 b,tr , 2009,
. An.EST
DWIGHT E. BROCK, Clerk
BOARD OF COUNTY COMMISSIONERS
COLLIER C9t)NTY, FLORIDA
,.I ,
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By:
,I?'..prl...... r-.;/: ,d.j~,
Donna Fiala, Chairman
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A 'tant County Attorney
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