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HomeMy WebLinkAboutAUG 13 20191 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: Address: Z:-5 5 City: YVI T;K -7-7703 . �Zl Phone Number: Date: Z o f I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the re uirements: Signature:/ Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number OWork Session: ❑Public Hearing 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. 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 record. Print Name: �,P/►2� Address: City: / d' -a/ Phnnp NrjmhPr- /(% e62 D / 7// Date: 8 3 I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by th quireme Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: OPylic Hearing 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. 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: K&AAL4 VO U61kan Address: City: 4U rn 0 n:r Phone Number: � 17,1 .Z�� 33 YY Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirem ts: Signature:. Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number OWork 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.