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HomeMy WebLinkAboutOCT 15 2019PL O 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 lA-V- Address: I )O►�L)►� Ad dress: 5� J �Gz- ► r City: b Phone Number: Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abideby the requirements Signature: pv��D- Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Pu c Hearing Of 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. Pe 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 ecord. I Print Name: Address: City: Phone Number: w Date: aC7. l4J1 go / I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and poide Wtiye regyirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: OPyblic 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. 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:S0Q Address: City:'l �� 0 Phone Number: LC ® l D / 1 l l `l Date: Q S I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid by the requirements: Signature: 1- Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Public Hearing blic Comments XU s 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\ 7 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: 2 a -U ►r►.. Phone Number: Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and by the-mauh'ewents: Signature: Please indicate your ❑Consent Agenda ❑Posted Item: please indicate item number OWork Session: 5ublic 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. 5 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: C d� Address: 1Q � U. '31- 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 Mork Session: ❑Public Hearing [APublic 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. II U 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. p Pant Name: Address: City: Phone Number: 4O ,2) �5 U 5-3 Date: �� l I have read the requirements for speakers Injh me Ing of the Beaumont City Council and will adhere to and abide by the requ' ments: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑ sion: ublic 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.