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HomeMy WebLinkAboutDEC 10 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: Z'� I have read the require errjs for/pakers in the meeting of the Beaumont City Council and will adhere to auRd gb1de b)046 requirements: / /I Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: OPu is 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. �c 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 record. Print Name: `c V"a 14 s• �� a Address: City:V. Phone Number: Date: 1 have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirements: G Signature: Please indicate your comment choice: ❑Consent Agenda Posted Item: please indicate item number LWork 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: —bx. 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 AWork Session: ❑Public Hearing ❑Public Comments 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. �G 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: Nv aG co . AAecA-a ockv_--\e Asce )c& Co Address: 2 5�6 ArgPA\ (lG City: Phone Number: Date: D2 _ (., - .I- () - 20 1 q 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: r Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number EJWork Session: ❑Public Hearing J2,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 iri 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: Phone Number: Date: G I have read the requirements for spe and will adhere to and abide,:by the i Signature: e meeting of the Beaumont City Council Please indicate your comme j ofe: ❑Consent Agenda ❑Posted Item: please indicate item.number Mork Session: ❑Public Hearing is Comments Falsely i ntifying 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.