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Okaloosa County BOCC — May 19, 2015 — MoultonTitleInvoice — reading text
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OKALOOSA COUNTY CLERK
OF THE CIRCUIT COURT
M e m o **x*p| EASE RETURN YELLOW FORM WITH
RESUBMITTED CONTRACT****
To: PW S 0‘30\\
From: Jodi K Gates, Financial Services Manager \P\S
Date: 3/30/2015
: R P R Notificati
Re: Return Payment Request Notification Approved to Pay
REFERENCE MATERIAL:
- The County's Policy and Procedure Manual and forms are available
http://www.co.okaloosa.fl.us/Purchasing Documents.html
- All contracts/leases can be viewed at http://www?2.co.okaloosa.fl.us/contracts/defaultpage.aspx
- FDOT - http://fdotewpl.dot.state.fl.us/CityToCityMileage/viewer.aspx
- Section 112.061 Florida Statutes
CONTRACT/DIRECT PAY/PO's
THE FOLLOWING PAYMENT REQUEST IS BEING RETURNED DUE TO ONE OR MORE OF THE FOLLOWING REASONS
Vendor 'Moulton Land Title Inc
Invoice Number Title Search Invoice Date 3/16/2015
Purchase Order # Amount $150.00
TRAVEL REIMBURSEMENTS
THE TRAVEL SETTLEMENT PAYMENT REQUEST LISTED BELOW IS BEING ADJUSTED AND/OR RETURNED IF FURTHER ACTION IS NEEDED
DUE TO ONE OR MORE OF THE FOLLOWING REASONS:
Traveler Travel End Date
Destination Purpose
REASON FOR RETURN:
1st Reason Other - Incorrect payment method
Explanation of Return Attached payment request does not qualify as a 'Direct Pay'
2nd Reason
Explanation of Return | Pen M T\% Ao ung¥ C\—CQGI‘}‘) CC
**¥XNOTE: CORRECTIONS RESULTING IN ANY CHANGE MADE TO A CONTRACT PAYMENT FORM OR SUPPORTING
DOCUMENTATION WILL NEED TO BE RESUBMITTED THROUGH THE NORMAL APPROVAL PROCESS™****
Please review, make necessary corrections and resubmit for payment. If you have any questions, contact
Olivia Tanner at x3414, Deborah Estelle at x3416 or Jodi Gates at x3413. Thank you.
PAYMENT APPROVAL FORM
NON-CONTRACT/DIRECT INVOICE PAYMENTS
DATE: March 24, 2014
.....
TO: Finance Department-Accounts Payable & 2
Clerk of Circuit Court s
=)
FROM: Kathy Carroll, Administrative Manager =
SUBJECT: Payment Approval J
Vendor Name: Moulton Land Title, Inc.
Invoice Number: Invoice Date: March 16, 2015
Invoice Amount: $150.00
Budget Account Number: 1001-531900
Project Title: Bobby G. Kennedy Jr. Title Search, Search File # S15-007
INITIALS Date Approved
Authorized Personnel:
Department Director: V’k/ 3/50 IS
3‘8@941‘ Autrey Vo
Remarks: Send to: Moulton Land Title, Inc.
660-A North Ferdon Blvd.
Crestview, Fl. 32536
100l - 531400
INVOICE
Date: March 16, 2015
FROM: Moulton Land Title, INC..
660-A North Ferdon Blvd.
Crestview, FL 32536
Phone: (850) 689-3180 Fax: (850) 689-3440
TO: Attention: Jeff Henderson
Public Works
Right of Way Agent
1759 South Ferdon Blvd
Crestview, Fl 32536
Search File Number: S$15-007
Name(s)/Owner(s) Searched: Bobby G Kennedy Jr
Property Description: Section 22, Township 3 North, Range 23 West, Okaloosa
County, Florida
Type of Search: Commitment Form
Searchsssis P $150.00
L1717 o DU — .$150.00
The above amount is due and payable no later than 30 days from the date
hereof. Payment should be made to Moulton Land Title, Inc., and please
reference the Search File Number.
Should you require anything further, please do not hesitate to call.
Thank you,
Stacy Williams
TITLE SEARCH REPORT (ABSTRACT)
Prepared By:
Westcor Land Title Insurance Company
Prepared for: Moulton Land Title, Inc. Agent ID #: FL1028
Plant Order #: 15-11154 Agent File #:515-007 Reinsurance #:
The subject property of this Abstract is specifically described in Search Request Form as provided by Agent.
Search Start Date Base thru February 27, 2015 @08:00 AM
THE ATTACHED ABSTRACT IS PREPARED FOR THE USE OF AGENT LISTED ABOVE, A POLICY ISSUING AGENT OF
WESTCOR LAND TITLE INSURANCE COMPANY, HEREIN 'AGENT', AND [S TO BE USED ONLY FOR AGENT'S EXAMINATION
AND DETERMINATION OF THE INSURABILITY OF TITLE TO THE PROPERTY DESCRIBED HEREIN IN CONJUNCTION WITH
THE [SSUANCE OF WESTCOR LAND TITLE INSURANCE COMPANY COMMITMENTS, POLICIES AND ENDORSEMENTS.
USE OF THE ATTACHED ABSTRACT FOR ANY OTHER PURPOSE IS NOT AUTHORIZED. THE ATTACHED ABSTRACT MAY
NOT BE RELIED UPON BY ANY OTHER PARTY NOR MAY IT BE RELIED UPON FOR ANY OTHER PURPOSE. NO LIABILITY
IS ASSUMED BY WESTCOR LAND TITLE INSURANCE COMPANY FOR ANY UNAUTHORIZED USE OR RELIANCE. ANY
LIABILITY UNDER THE ATTACHED ABSTRACT IS LIMITED TO THE LIABILITY UNDER THE WESTCOR LAND TITLE
INSURANCE COMPANY POLICY OR POLICIES ISSUED PURSUANT TO THIS ABSTRACT.
The attached Abstract prepared in accordance with Agent's instructions includes copies of all conveyances leases,
mortgages, liens, encumbrances, notices of lis pendens and all other instruments recorded in the appropriate records
books of the County indicated in the attached Abstract, State of Florida, sufficient for evaluating the insurability of title
to the land described herein and which affect the title or any interest in the land described herein for the purpose of
issuing an Westcor Land Title Insurance Company commitment, policy, endorsement.
The attached Abstract contains copies of the following documents: 1) A 'Chain of Conveyances', (ll) 'Unsatisfied
Encumbrances' (if any), (llf) 'Unsatisfied Judgment & Liens' (if any), (IV) 'Taxes and Assessments’, (V) 'Miscellaneous
Matters' (if any), and (VI) 'Easements, Restrictions and Other Matters Affecting Title Searched'. It is the responsibility
of the Agent to verify receipt of the documents listed above. The Agent's issuance of any WESTCOR commitment,
policy or endorsement is attestation of Agent's receipt and examination of the documents set forth in the Abstract for
the determination of insurability of the title insured.
The Agent who examines this Abstract must follow all underwriting guidelines set forth in the Underwriting Manual and
Bulletins issued by WESTCOR. The Agent is responsible for obtaining appropriate updates or continuations of this
Abstract prior to the issuance of any commitment and policy in accordance with WESTCOR's guidelines and prudent
underwriting practices. The Agent is responsible for any errars, omissions, defects, liens, encumbrances or adverse
matters not shown by this Abstract but known to or discovered by the Agent prior to the issuance of any WESTCOR
commitment, policy or endorsement.
This Abstract does not insure or guarantee the validity or sufficiency of any documents attached, nor is it to be
considered a title insurance policy, an opinion of title, an ownership and encumbrance report, a guarantee of title or as
any other form of guarantee or warranty of title. Any liability under this Abstract shall cease and terminate six (6)
TSR
TITLE SEARCH REPORT (ABSTRACT)
Schedule B - Section 1
l. Chain of Title and/or Conveyances please see attached copies.
i1 Unsatisfied Encumbrances, if any, please see attached copies.
I1l. Unsatisfied Judgments/Liens, if any, please see attached copies.
IV. Taxes and Assessments please see attached copies.
V. Miscellaneous Matters, if any, please see attached copies.
Schedule B - Section 2
VI. Easements, Restrictions and Other Matters Affecting Title Searched:
1-6 The items set forth in 1-6 of the Standard exceptions of the ALTA Commitment 1966 affect
the title searched.
7. Gulf Power Company Easement as recorded in Deed Book 40, Page 301, of the Public Records of
Okaloosa County, Florida.
8. That certain Boundary Line Agreement as recorded in Official Records Book 1733, Page 104, of the
Public Records of Okaloosa County, Florida.
9. Anything to the contrary notwithstanding, this policy does not attempt to set out in the manner in which all
the oil, gas and minerals in, on or under the property described in Schedule A are now vested, and this
policy does not insure any oil, gas or minerals in, on or under the property described in Schedule A, nor
any rights or easements in connection therewith. Element of coverage 3b of the Florida Form 9
comprehensive Endorsement issued herewith, if any, shall not apply with respect to this item.
NOTE: Real Estate Taxes for the year 2014 were paid in the amount of $295.98; Assessed Value $17,821.00;
Gross Amount $295.98; Exemptions: no ; Folio No.: 223N23000000600000.
NOTE: FOR INFORMATIONAL PURPOSES ONLY: The following constitutes a 24 month Chain of Title
preceding the effective date hereof and constitutes conveyances and transfers of ownership only:
1. Deed recorded October 11, 2006 in Official Records Book 2741, Page 2819, of the Public Records of
Okaloosa County, Florida.
Plant Order #: 15-11154
TSR
