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HomeMy WebLinkAboutOCT 01 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: 1� �' SAA Address: C)C> &kA) City: �AUAA 2 � Phone Number: 7� Date: 1 / I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the uirements: Signature: Please indicate your co ent choice: ,Consent Agenda � 1 V ❑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 37.1 O(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: I have read the requirements for speakers in he meeting of the Beaumont City Council and will adhere to and 9b e b the require nts: Signature: Ple a indicate your "Mm'choice: onsent Agenda ClPosted Item: please indicate item number Mork Session: OPublic 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. CA 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: Cr0` VV Address: �3 �V V ( W )(S City: Phone Number: I `7 6S Date: Oj L I have read the requirements for sp�kers in the me-'in,g of the Beaumont City Council and will adhere to and abide brthe�r�auIvGment -% Signature: Please indicate your comment choice: onsent Agenda E7 ClPosted 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. Pc 0 If you plane 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: G i a C t N t`V City: �RQ10V4 i'Y1.4 VC4- Phone Number: cqcyg) Q� (8 -O` d- C' Date: to- 1` _Z6 Ln 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: 0 4 �Q Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork 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. 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: i�Lo - �N Address: ,.D52 City: Phone Number: (&-P) 44 4-�--b Date: -T 1� -2U14? I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere toted abide bvJhea-eautrements: Signature: Please indicate your commenr cno►ce: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Public Hearing ilfP'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.