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HomeMy WebLinkAboutFEB 25 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: CA Address: !3 S I( Ae -ek City: For Phone Number: Date: I have read the requirements for speaker in the meeting of the Beaumont City Council and will adhere to and abide by t r uirements: Signature: Please indicate your comment choice: ❑Co L'rtrsent Agenda ed 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. 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: / " t ` G�1 �, I �!c I Address: S LCI City: Phone Number: d l Date: I have read the requirements for speakers in th meeting of the Beaumont City Council and will adhere to and abide b the require ts: Signature: Please indicate your comment choice: 133C9psent Agenda t3r6sted Item: please indicate item number OWork 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 '37.1 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: \ \/ UAJA 5 W (V Address: 33D 6(IA (a City: < Phone Number: _ hog Date: I have read the requir or sp ak=Ime;71 ting of the Beaumont City Council and will adhere to andide b th req Signature: Please indicate your cory*ent choice: ❑Consent Agenda ❑ osted Item: please indicate item number . Mork Session: ` /fiuh�- Qr-rwi 00-blic 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. Address: u V;W City: Phone Number: J Date: I have read the requi is for speakers in the meeting of the Beaumont City Council and will adhere to d abid y the 'rements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Public Hearing Millbblic 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.