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HomeMy WebLinkAboutFEB 11 2020If 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: H 1 /c7/Q 9V l l Address: 15,,� K&-61 A) e, A) dT City: gG-q_rA& " It 7-2 -7629' Phone Number: X0 3 -3 Date: o2- 11 /""0 OV�) 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: ���• /f Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number OWork Session: blic Hearing W 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. 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: 0�-�`�-�� ly� �✓ Address: 05-3n City: Phone Number: Date:Q,�. 1 have read the requiremesp akers in the meeting of the Beaumont City Council and will adhere to and ide rewArZ-ments: Signature: Please indicate your cor)ffir—hent choice: ❑Consent Agenda ❑Posted Item: please indicate item number .OWork Session: Wu 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. 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: Pay 0OU,'UD S Address: 59 o G I odLAS City: r\�— Phone Number: qD9- 39g c53a 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: . A 00 g '/ �;h Please Indicate your comment choice: ❑Consent Agenda ❑Posted item: please indicate item number Mork Session: OPOR6 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. Print Name: e Address: Z? 7o City: -77703 Phone Number: ( o 9 U G -o Date: ?- - l ( � I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abi le by the re ire me Signature: kl Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Public Hearing Mublic 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, �,, ( (2,J An O -A -S, in Address: 60,5MO+-� r City: Q) C9�2-rw� A Phone Number: Date: i I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to an abide by the requirements: Signature: Please indicate your comment choice: ❑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. 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: 02- 11/ 2-6�a I have read the requirements for sp�ea rs in the m and will adhere to and zbide bvlthe riretYents' Signature: Please indicate your commen ice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Public Hearing [public Comments of the Beaumont City Council 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: Phone Number: Date: I070 Mon/'76RR9y DR. U fi J M9 ?VZ r 71: Y�9 S -2-7 '7 0 6 �1 oq) -7 9 2 - 2tt1'3 Z -II - -IDTo I have read the requirements for speakers in the,�meeting of the Bea.umotit City Council and will adhere to and abide by the requirem,nl : <</ Signature: Please indicate your comment choicb: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Public Hearing ,.T'tublic 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: �/� r� o��✓ 4 Address: City: 0 6 Phone Number: �� % /J77 Date: 2, I have read the requirements f sp kers in the meeting of the Beaumont City Council and will adhere to and abide,6y the Oquirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: OPublic Hearing Xublic 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.