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HomeMy WebLinkAboutAUG 06 2019�P c If you plan to speak to Council regarding an item on the Consent Agenda or Regular Agenda, or during the public comment period of the meeting, please fill out this form and hand it to the City Clerk (who sits to the left of the podium) before you approach the podium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. Print Name: a tj he 1 t City: an ----1,14o r1 / Phone Number: Z 0 � 5'/ Date: A�- h?� l� I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requ' e ts�:� Signature: Please indicate your comment choice: L ❑Consent Agenda ❑Posted Item: please indicate item number -40`o:—rkSession: -- ❑Public Hearing ❑Public Comments Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense If he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a Governmental Record. `P C If you plan to speak to Council regarding an item on the Consent Agenda or Regular Agenda, or during the public comment period of the meeting, please fill out this form and hand it to the City Clerk (who sits to the left of the podium) before you approach the podium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. Print Name:J 7��p �� 17 ► Val sa12 Address: �5 /� tii1� City: lsear-twlont rx 777&7' Phone Number: 7jjO` Date: '/i // 9 1 have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide b the requirements: Signature: �zr Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑P lic Hearing 016'ublic Comments Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a Governmental Record. ?C ' If you plan to speak to Council regarding an item on the Consent Agenda or Regular Agenda, or during the public comment period of the meeting, please fill out this form and hand it to the City Clerk (who sits to the left of the podium) before you approach the podium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. Print Name: �:-N) A'dr-D - 7kt5, Address: S S CtiI Fykj City: Phone Number: Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Public Hearing OPublic Comments Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a Governmental Record. W W k SU� W4,q, ;�--1 If you plan to speak to Council regarding an item on the Consent Agenda or Regular Agenda, or during the public comment period of the meeting, please fill out this form and hand it to the City Clerk (who sits to the left of the podium) before you approach the podium to speak. Thank you for helping us with the correct spelling of your name and address for the official le-,ord. �1 Print Name: Address: City: Phone Number: Date: 1 have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirements: Signature: Please indicate y u ❑Consent Agend ❑Posted Item: plea: IRWork Session: ❑Public Hearing ❑Public Comments choice: item number Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a Governmental Record. If you plan to speak to Council regarding an item on the Consent Agenda or Regular Agenda, or during the public comment period of the meeting, please fill out this form and hand it to the City Clerk (who sits to the left of the podium) before you approach the podium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. Print Name: <e- 14 // 14g�& Address: / �� •S • du�2� 'A City: f �p act*,-- , rX 77707 Phone Number: yd .7 2 3.3 3 Yy Date: _ z ��.1` 0 Z I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirements: Signature: Please indicate youi%6ommenf choice: ❑Consent Agenda ❑Pasted Item: please indicate Item number Work Session: ❑Public Hearing ❑Public Comments Falsely Identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a Governmental Record. If you plan to speak to Council regarding an item on the Consent Agenda or Regular Agenda, or during the public comment period of the meeting, please fill out this form and hand it to the City Clerk (who sits to the left of the podium) before you approach the podium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. Print Name: '5'v�'e - Address: 70 gLh S7T.� City: Phone Number: �O Date: I have read the requirements f spe kers in the meeting of the Beaumont City Council and will adhere to and abide y th ents: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ©Work Session: ❑Public Hearing %Public Comments Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a Governmental Record.