HomeMy WebLinkAboutNOV 12 2019P�
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
a oach the
with ft of the he podium)
orrrect)before you spelling of your name and
h
podium to speak. Thank you forhelping us
address for the official record. I�
Print Name:-'
Address: (T �( q C � c J `S� `� " �
City:
Phone Number:
Date:
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to anabide by the requirements:
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public Hearing
`i 14u 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:
City: 66)14 4
Phone Number: t
Date: //iii I C! �1`�l
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide-i3v cwhement6l
Signature:
Please indicate your commerdcholce:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
Vu
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 if he knowingly makes a false entry in a governmental record. Penal Code Section
37.10(a), Tampering with a Governmental Record.
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3
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)bfore of your you P name and
oach the
podium to speak. Thank .you for helping us with the ospelling
address for the official record.
Print Name:
Address:
City:
Phone Number:
Date:
I have read the requirements for spe ers in the meeting of the Beaumont City Council
and will adhere to and abide by the cWir encs:
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
OWork Session:
❑Public Hearing
Ej%u'&jc 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.