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HomeMy WebLinkAboutNOV 05 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: Address: City: Phone Number: Date: S jp/�,j . 14D ACIVIA'A') U✓ �tik� N��� -7 a 94o/— /177 I have read the requirements for spea s in he meeting f the Beaumont City Council and will adhere to and abide by the r ulr encs: Signature: Please- indicate your comment choice: Consent Agenda-� osted Item: please indicate item number ji&ork Session: ❑Public 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. 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 �� Address: City: Q Q i a acs "C Phone Number: qr(�' Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid6� eki reauireMera#s:� Signature: Please indicate your ❑Consent Agenda ❑Posted Item: please indicate Item number PyVork Session: ublic Hearing El'P'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 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. Print Name: r�-e �-1 rlJ'� ret -� /" C-/9— Address: 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 ❑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. �7 Print Name: Address: City: I f Phone Number: Date: << s I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide b the1rrequirem nts: Signature: 1` J Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: OP/pblic Hearing MPublic 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: �51-1% City: &,AU1%46 h/ -r 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: - C aw'z�� 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: Address: 1 5-J City: & s , e7S- Phone Number: �" ( �' 0 (�i' Date: 1 bsi l I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid by the requirem nts: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Public Hearing �ubllc 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.j p,, Print Name: 11 !\� `� S -(L r +/� &--r' Address: _ q � 8 0 A" City: b M Phone Number: YQ 9 r 7 %' Y ZO Z Date: f j � S 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: YYY])j✓l Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Public Hearing -lfPublic 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: �l f i de, Address: 3 xe City: Phone Number: Q 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: l/ll Please indicate your com ent choice: ❑Consent Agenda OPosted Item: please indicate item number Mork Session: ❑Public Hearing OP'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: 1 I xcc r a Address: City: J P_za v n/� 7 7y % Phone Number: �0'7— Try 2- _ W �--3 �— Date: J/Z5 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:='�z �- Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: Z ub 'c 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. 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: A I �V J Address: ' e City: u UVl D, G 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 ❑Work Session: OP Public blic Hearing blic Comments Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense it 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: cJu-� �!►�- �� wS Address: �� V City: Ac /-I-'ppl, D 4"4i }�- Phone Number: �L? 3 s Date: _ e5 — 1 have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to a the requirJe�menfis: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number [Mork Session: ❑Public Hearing blic 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. —JLJI Lmwe %m4we V1 If you plan to speak to Council regarding an item on the Consent Agenda or Regular P� 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 I podium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. VV 6Q r C I'G Print Name: � 01° NOR Q` Address: �9 � G W o c� Le? City: Te O u W o 01 +X 7 7 0 3 Phone Number: No m Date: L( 45 / / � 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: � tk (� 0, EC ( -,4 Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: UKublic Hearing 3285 Co>i @AFilic 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. fib Wn*c S+TUOU*-e- 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 a 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:7S LA Address: �0 City: c� 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 abi ,e b e requir ments: /7 Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: 2Public Hearing 21V5 Y 09r)OUG1J ❑Public Comments J Falsely idenfifying 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: l� I iG L �� i� w5 Address: y S rA I/as�6ri City: 6 M-1 Phone Number: Date: It l n G4-1 u p5 AGI 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: —/ ► I A, J3Ct'� Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: Elfublic 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.