Appointee Gary M. Lukens toI1AZ.
OATH OF OFFICE
(Art.II. §5(b),Fla.Const.)
STATE OF FLORIDA
Collier
County of
I do solemnly swear (or affirm) that I will support, protect, and defend the Constitution and
Government of the United States and of the State of Florida;that I am duly qualified to hold office
under the Constitution of the State,and that I will well and faithfully perform the duties of
Naples Heritage Community Development District Seat y- e, r- ; •
(Full Name of Office—Abbreviations Not Accepted)
on which I am now about to enter, so help me God.
[NOTE: If you affirm,you may omit the words"so help me God."See§ 92.52, Fla. Stat.]
e\-3011L \ \\.i %\kt)lsa
Signature
(Affix Seal Below) Sworn to and subscribed before me by means of 1 physical presence
Or online notarization this $ day of 4'yvor{•-/' , 20 1-.1 .
turetu o Officer Administering Oath or of Notary Public
V US )114,A_.
Print, Type, or Stamp Commissioned Name of Notary Public
Personally Known Ej or Produced Identification U
4,0".1 -.. JUSTIN T.FAIRCLOTH
,,l $,(y COUM SiON#HH 368o Type of Identification Produced �/,'
ort
°i EXPIRES:March 1,202'
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ACCEPTANCE
I accept the office listed in the above Oath of Office.
Mailing Address: Home JE Office El
Street or Post Office Box Print Name
City,State,Zip Code Signature
DS-DE 56(Rev.09/23)
161142
NEW SUPERVISOR INFORMATION SHEET
PLEASE RETURN COMPLETED FORM TO RECORDING
SECRETARY:
Inframark
210 North University Drive
Suite 702
Coral Springs, Florida 33071
CDD:
NAME:
ACC N \.W��ri S
ADDRESS:
COUNTY OF RESIDENCE: C o\--L" CCZ
PHONE: S-6 Coo •c\ Cz-
,FAX:
CELL: s@�£
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