HomeMy WebLinkAboutOCT 22 2019If you plan to speak to Council regarding an item on the Consent Agenda or Regular
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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: U✓
'City: �1 �� X11
Phone Number:
Date: 2 /
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to an4 a0de by the requirements:
Signature:
Please indicate your comment choic&l
❑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
37.1 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: g Sb
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 the requirements:
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
Rub
blic Hearing
lic 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
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: L11
Address:}
City:U
Phone Number: � MID -
Date: 10 I n I %
1 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:
C1Pyt�lic 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
37.1 O(a), Tampering with a Governmental Record.
D
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 sitsthe us with left of the then correctspellingof your before you P name and
oach the
podium to speak. Thank you for helping
address for the official record.
Print Name:
Address:
5 -\ <' 5
City: M7— --) -),-) n
Phone Number: " l � 0�
Date:
k the meeting of the Beaumont City Council
I have read the requirements for spec em In
and will adhere to and abi by the requirements:
Signature:
Please indicate your c ment 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.