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HomeMy WebLinkAboutAUG 20 2019If 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: 'i lu I Vy (�- Address: SS 01' Ci ► -b r city: T� rM T Phone Number: �[Og —,I (a 0 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: &�� Dctlt--�—� v Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ClWork Session: ❑Public Hearing PPublic 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: �Q ll U Cd in Address: zx-'-P� 2 ZftJ ex Dc� City: TJ / T Phone Number: -1(f Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abidthe requirements: Signature: Please indicate your c men choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: 17Pu c Hearing Ef 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 a 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: Pi IJ LAW Address: (0 3 S's �t1Jij iJ City: h'l TJ— —� Phone Number: Date: Cf --a I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the quirgments: Signature: "`�� Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Public Hearing Wublic 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 Q Print Name:aiy 9"j 9 15 Gan, j Address: A/&() Vvz rC e City: a_ q m o ti f Phone Number: -+D</ 0-E-22 Date: g_2D ' )q I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requiremeLLL:�z Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Public Hearing Wublic 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. C2 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:/Jam/-.A o Address: �l (�� Pr kv City: Phone Number: Date: have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the re s: Signature: Please indicate your comment choi ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work 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. 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. k Print Name:AlC--'v /< Address: City: v mb Phone Number:relolv) 5'/ Date: I have read the requirerr�entsr speakers i/ meeting of the Beaumont City Council and will adhere to an�d//abide v the reaui m nes: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑P,�Ublic 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: Address: / f :f s- S• Z%,Ac 01 1�. City: ea, Tx Phone Number: �fd� Y C6 Ye db 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: � 401, 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. 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: City: Phone Number: Date:�Z0'��� 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 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.