HomeMy WebLinkAboutMAR 03 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: toPlh.`izR �Q 2 U C
City:
Phone Number: Y
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
Mork Session:
❑Public Hearing
Ol 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: C,W V\- VV t
Address: L
City: �!Y\.b �11�_. -7
Phone Number: 12 ff30— 171 /
Date:
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and bide by the requirem
Signature:
Please indicate your commen choice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork 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.
Print Name: 11%f 1� , f I
Address: `'C' �� Ln
City: . D
Phone Number: 1 ` 1iC19 + �'� -
Date: 1 12o- c---�2
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. CA
Please indicate your commen choice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
❑Public Hearing
Oublic 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 officialMd
Print Name:/'/
Address:
City:
Phone Number:
Date:
`ted
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to an bide by the req firemen s:
Signature: `
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
[blic 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: r 1 t ��'1 `�
> C i r'
Address:
City:rJ�
�� /�%
f }� . -2 y
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: f� Z7-% --
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:
li
\rj I t°I �
Address:
City:
Phone Number:
"/
Date:
3/ '7/
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by ther uire nts:
Signature:
Please indicate your comment choice:
Monsent Agenda
❑Posted Item: please indicate item number
Mork Session:
17Qublic 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: ZJ02 Z�D 6W' aD �( L
City: � W / % `7 %�
Phone Number: ,
Date:
I have read the requirem is o sp ake s i the meeting of the Beaumont City Council
and will adhere to and id b, t e 6aielr me
Signature:
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: V n k
2�
I
Address:
City: cx-T l
Phone Number:
Date:
/n 7-
I
I have read the requireme Its for speakers in the meeting of the Beaumont City Council
and will adhere to and ab' a by th eq 're - en t^s:
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Pic 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 ohe orrectspelling of your tthc ') before you name and
oach the
podium to speak. Thank you for helping us with
address for the official record.
Print Name: L
Address: ' rw
City:
Phone Number:
Date: 7./O
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:
blic Hearing
;OP
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: L -as -'Ar\\ � �
Address: �� Jr - cp.�7 C -
City: -0-SN k -K �V
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
Mork Session:
\ ❑Public Hearing
`I�IPubiic 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: ��(i Q Ow-
Address:
Z U (j �0►�-•
City:
Phone Number: 4 - 3 IOD
Date: -3 .Q
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abi r ents:
Signature:
Please indicate your comment bhoice:
❑Consent Agenda
❑Posted Item: please indicate item number
P,Work Session:
Pu Ic Hearing
0311rublic 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. �e� n
Print Name:
Address: � 16 K 1 o� �a i^e �, �►^9 v�
City: ��cc.� vwo �.&I �Qj S `y77 0�
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
OWork Session:
iWublic 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: I S Pi�U
Address: _T2� ( V-� (I PA. o, _
City: 72 V
Phone Number:
Date: 3 — Q — 2-C,
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide t e requirements:
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
[Mork 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 officia�e�o d.
Print Name: e ,
M, �
Address: l �)
gk�� �z
City: JS021E ( ?'�
I� nn �J6 � � .
Phone Number: / h U�t `
z
Date: Z, L/
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to aby the requirements:
nd a ide
Signature: v G -7nA
Please indicate your c6mment choice:
❑Consent Agenda
❑Posted 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
37.10(a), Tampering with a Governmental Record.