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HomeMy WebLinkAboutMAY 19 2020If you plan to speak to Council regarding an item on the Consent Agenda or Regular Y P P 9 9 9 9 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. Address: 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 r ents: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Work Session: OPabllc 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. 0 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: - -1111.1!�i` f Address: City: P,ad)AnTMA_�_ , r)6 77-70b Phone Number: ( �"() a� � 6 (q r Date: I have read the requirements or speakers in the meeting of the Beaumont City Council and will adhere to and 'de by the requirements: Signature: a 14 Please indicate your comment choice: ❑Consent Agenda 14posted 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. 3 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'�LLaY Address: it; �O City: gPU KDo Phone Number: C--4ori) q§(;- — Date: �l q I have read the requirements for speakers in the meeting -0a Beaumont City Council and will adhere to and abide by thelreciuirements Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Pu�lc Hearing EU 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 Ian to speak to Council regarding an item on the Consent Agenda or Regular Y P P 9 9 9 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. A Print Name: Address: City: Phone Number: z f - 351)- a''9 Date: S- /1-2,0 a& I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide b e requirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Pub 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. 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 nddress for fhe official record_ Print Name: Address: 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: c Please indicate our comment choice• Y ❑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 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: r"` 1e-flgL - eco -Pep'-' Address: _ �-( 155, 0.a Lia owlATI/6-1 7,)y VC -- City: ����(11i1PIJI%, i-�SCf45 `J�?flS Phone Number: d'7 0 2 ��v Date: Mat ! f 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: 0blic Hearing PUUbIIc 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. r7 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. L Print Name: v R ®p Q - Address: 2 2-q O :FI IJL City: ]3EAU MP -J -T- Phone Number: `q Cq- 333 tAY-1Date: MAY- 1 have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and bide by the requirements: Signature: 111 �c.r,�,� `"`v Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork 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. WICI[Illm Print Name: Address: 3 3 IoL beJ PICLU-1 City: e-WL4� l 0 J Phone Number: CSD J l - / 8 edl Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abi e (the requirements: Signature: T� Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number []Work Session: Vu blic Hearing blic Comments r[-P-e'-6jQ'aj podium a constitute a crime. A person Falsely Identifying yourself on this enrollment form or orally at thep d m m y p 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. 16 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: -Da '-' tA t -j U` Address: -J--3 3 5 -D (z 1, �l City: aw Phone Number: aog� a g' -7S R;-] 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 inc icate item number OWork Session: OPu lic Hearing Q 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 heClip"ng with the correct spelling of your name and address for the official re rd. Print Name: Address: City: Phone Number: Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and a y th re uirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Vub rk Session: lic Hearing lic 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. 13 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: jCJDN t-16Qs,�-Qvnr 1910 V�"Vc- b#-'qumolvo' y�7x&s Phone Number: y i)q �� L 7 Date: SS I have read the requirements for s eakers in the meeting of the Beaumont City Council and will adhere to and abide by/fho requirements: _ Signature: Please indicate your comlTit5iit 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.