OATH OF LOYALTY

State of Florida

County of

I,	, a citizen or authorized non-citizen of the State of Florida and of the United States of America, and being employed by or an officer of the Department of Economic Opportunity, and a recipient of public funds as such employee or officer, do hereby solemnly swear and affirm that I will support the Constitutions of the United States of America and the State of Florida.

Signature

Sworn to and subscribed before me

This	day of	20	.

____ Personally known or __________ Produced identification

Type of Identification Produced:

Signature of Notary Public – State of Florida

Print, Type or Stamp Commissioned

Name of Notary Public

(SEAL)

OCR Document

Readiris

2007-03-07

mcgillj

I.R.I.S.