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Home My WebLink AboutAUG 18 2020-�- U15S Norte 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: 1 T Address: City: Phone Number: Date: G I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abi by the requirements: I Signature: Please indicate your comment choice: �ya►a" Q onsent.Agenda o ted'Item: please indicate item number_ RAI 31 p1d1�1ts 3� ❑ ork 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. a za 54) (S� 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 reco d. Print Name: e Address: City: YOr-r 1'r �r Phone Number: 2�� 3 �`�/ - C-) q 0 6 Date: �' l S'4 0 za 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 , ❑P ed Item: please indicate item number 19) I� ❑ ork 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 37.1 O(a), Tampering with a Governmental Record. p q5b COLMPUS 3 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: 9-1-my? Address: City: Phone Number: �� y� `% - 72 yy Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by thy r quirements: Signature: Please indicate your comment choice: ❑Consent Agenda , n (� ❑Posted Item: please indicate item number "� OV f6rk Session: ' E[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. ''131..Q0 LCLO iS 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: G Psi V Address: 6 3 M oA 4[a h City: s ea urnmw�'_1 X 71171 t7b Phone Number: up 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 requiremepts:,,/ Signature: Please indicate your comment choi ❑Consent Agenda _ ❑Posted Item: please indicate item number Z�Owe ❑�ubllc ork Session: 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. It�I S S) COLOIDS 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: �y Niiy Address: I 'SO4 City: "O)olk Phone Number:2� -� 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 Fut ted Item: lease indicate item number rk Session: lic 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. 110 IL q � S - qM 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. MCL�11��► Print Name: V J, `I C" Address: City: S J s Phone Number: H-0 9, " 3 Date: i- 1 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: L Signature: 6y4n /V Please indicate your comment choice: ❑Consent Agenda 1' 9❑P sted Item: please indicate item number ��S Lf ❑ ork 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. �V 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: rCIG( A i Address: �gss ie&-�/NSCN Phone Number: /C/) 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 quirements: Signature: . 711 Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number []Work Session: Pu 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.