HomeMy WebLinkAboutFEB 02 2021If 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: lza12C441 s2h ZF'Nz-'
Address:
City:
Phone Number:
Date:
I have read the req
and will adhere to a
Signature:
Please indicate your comment choice:
onsent Agenda
❑Posted Item: please indicate item number
Mork Session:
❑Public Hearing
❑Public Comments
nont 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
37.10(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: �Y
Address:
City:
Phone Number: �� (�bd -,�`I -
Date: :F wQ
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide bLy the requirements:
Signature: n' -'-�
Please indicate your comment c ice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
Vu
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.
PC
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 recold. 11
Print Name:
Address:
City:
Phone Number:
Date:
ss
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and ab' e by the requirements:
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork 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: Qc. e-1442W (�— "
Address:
City:
Phone Number: C4c2dl) Ski O C7 16Z!'(
Date: Z Z — "Z-I
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide bype requijv=�
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
❑Public Hearing
P? 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.
4