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HomeMy WebLinkAboutMAY 12 2020[AY -4c,\ 1 If you plan to speak to Council regarding an item on the Consent Agenda or Regu ar 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 correctspelling of your name and address for the official record. A I Print Name: Address: / City: -2-261 Phone Number: Date: I have read the requi=em sFv ea stein the eeting the Beaumont City Council and will adhere to an i h Signature: Please indicate your comment choice: WoOCnsent Agenda sted 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:,�—yJ Address: C tmpv5 sr City: - k- >M cw-' X�� -1 *.;r-6 5 Phone Number: �-� U� — c 3G} ^ Q D 3 Date: 1 Z M N4 2.67 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: �L Please indicate your comment choice: ❑Consent Agenda 2 dPosted 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: Address: a �-� � � � C City: Phone Number: Date: have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and,ab'de by the requirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted 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: (""D 1'6 Address: City:-, v Phone Number: Date: IJ 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: OConsent Agenda ❑Posted Item: please indicate item number Mork Session: �0 ublic Hearing j7Public Comments 1 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(x), Tampering with a Governmental Record. Orq)If you pian 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: !u �(�l �O-�-( e��-�. Address: � /Y C,2—CS City: ` _CCLI_CnD e�-r i /\ Phone Number: eD I J d ` 9- 11�- S--� Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide quirements: Signature: Please indicate your comment choice: QConsent Agenda ❑Posted Item: please indicate item number OWork Session: ublic 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 rec Print Name: lklwA • / / /� h'I Address: City: Phone Number: 03 Date: /2 J� I have read the require ents for speakers in the meetingfof the Beaumont City Council and will adhere to and bi a by the req uir ents: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Post d Item: please indicate item number ❑W Session: ❑P 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 37.1 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: Address: 3c) DJ 0 V -C >(- City: c7A Phone Number: 4tA4qq S4yP 7 Date: � ~ l' of 2 , I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to a abid by the requirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Pu 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. Rc 45 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: x;0'40 rAil 1 S S" - City: (BCZ�1-0 0Andj I x Z2:21963 Phone Number: e Date: GSE A4V 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 OP,osted Item: please indicate item number n: EV'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: Address: City: �-Q—SA, kP VE ?` 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: ®Posted Item: please indicate item number Mork Session: 1❑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.