Backup Documents 12/10/2019 Item #16D 7 Mot -t,�,
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE i 6 D 7
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. Tom Calderon) Community and Human 12/3/19
_ Services
2. Jennifer Belpedio County Attorney Office ..\,..) (, b
IQ-11(M
3. BCC Office Board of County
Commissioners _v 4/� 12-\\A\
4. Minutes and Records Clerk of Court's Office
Q mitt ISA a.sle,r,
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 Tom Calderon Phone Number 252-4220
Contact/ Department /
Agenda Date Item was 12/10/19 ✓ Agenda Item Number 16.D 7
17
Approved by the BCC
Type of Document Release of Mortgage Number of Original 1 1 „/
Attached Documents Attached
PO number or account 791-138791-649030-33613.1
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? 5tD.,nn 2 OK N/A
2. Does the document need to be sent to another agency for additional signatures? f 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 TC
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 TC
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 TC
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 12/10/2019 and all changes made during the TC N/A is not
meeting have been incorporated in the attached document. The County Attorney's an option for
Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the • , A is not
BCC, all changes directed by the BCC have been made,and the document is ready for the . • a option for
Chairman's signature. is 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
1607
INSTR 5802615 OR 5705 PG 1683
RECORDED 12/12/2019 2:33 PM PAGES 1
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
Prepared by:Tom Calderon REC$10.00
Collier County
Community and Human Services
3339 E.Tamiami Trail
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE 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 Elda Perez to COLLIER COUNTY,dated July 29,1999 and recorded on August
4, 1999 in Official Records Book 2577 Page 3234 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 release 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 lZ\ kck
2019, Agenda Item Number I .
ATTES p;?,o BOARD OF C4001:1' i k ISSIONERS
CRY, L4{:•K1N ,, CLERK OF C LLI ' •►r� Y, FLO' 'A
B% By: i ler_
• RK • WIL/ M L. MC.'�.L` , -7 -'MAN
me
:PM est a fo rinan s
sioApp..4 P, ;' ,• . iegality:
Jennifer A. Belpedi III %1\'1
Assistant County Attorney
[19-GRC-00853/1507905/1]