HomeMy WebLinkAboutJUN 02 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:
Address:
City:
Phone Number:
Date:
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1 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
❑Pos ed Item: please indicate Item number
❑W rk Session:
❑P blic Hearing
QPublic 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.
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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 C v( G 0 O f? '
Address: �� i' 0
City: 7/� i
Phone Number: ( D (� / /— < 0 7Y/
Date: Ty 0 � 0
I have read the requirements for speakers in the
and will adhere to and abide by the regyjilernpA
Signature:
Please indicate your comment chol6e:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work S sion:
EIPuW Hearing
MV-ublic 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
37.7O(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:
1 have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and a ide by the requi ements:
Signature:
Please indicate your comment choice: I
❑Consent Agenda
❑Posted Item: please indicate item number
❑Wor Session:
vuop, -
lic 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: 3aa►� �rh Sri-.
City: r -a'
Phone Number: (go
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 yoLff comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
Work Session:
❑Public Hearing
21'rublic 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.