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HomeMy WebLinkAboutSEP 10 2019�c i • • 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: VVY S Address: I X-1. City: Phone Number:Sr- Date: 9— / 0' � % I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abideb-the reouireme-nts; Signature: Please indicate your OConsent 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: 3 `Q C Ci GRcjvz Address: 2 �J(1G.2_)t r'lCc City: L P, Phone Number: Date: OR - C - l 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 Mork Session: 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. ll j n If you plan to speak to Council regarding an item on the Consent Agenda or Regular �J 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:-�A�`MO�V 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 Mork 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: ` 51-C' Address: WO City: m"",y` Phone Number: li� 41- Date: 1 Date: C1 ,0 , I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by there� ents: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number OWork Session: ❑Public Hearing 6Public 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. iG 5 C7 0 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,f1orrtt e official record. 5 It Q- �J C- C Print Name: M OOsc c 016ki bk' Address: 02 q 3 5 IAW 5 Dear W �h A C' City:�Ull a►t"VI--t, Tx Phone Number: L401'112--blf(eS Date: o 111 Df 101 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 .OWork Session: ❑Public Hearing �Oublic 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. Pc • • 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: 6� 6 S0(V - l ' pe S P 8 0 e /I/ Address: 10 0 (1170fffaYARO ®R 1 City: CA, OM , -Itj f "7-7?o( Phone Number: Date: q - l D �- I have read the requirements for sp( and will adhere to and abide by the Signature: Please indicate your comment cWoice: ❑Consent Agenda in the meeting of the Beaumont City Council �ments: ❑Posted Item: please indicate item number Mork 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: /,�",s', �' S,. , y1/1. -z' A City:. % 7 774>7 Phone Number:�1� 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 FdFublic 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.