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HomeMy WebLinkAboutFEB 09 2021P-H W 444d 54-ruCtwA W #WO 23is Urn 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: O"ItdcL W lil6 Address: 4040 CI-0,11, City: Phone Number: Oti Date: © - (�� z . 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: czkA7 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. ENM Di Ia-p'l 5l r IA-c -1,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 officia�McQrd. ' _ I J 1/1) Print Name: Address: City: Phone Number: Date: I have read the requirements for s and will adhere to and abide.bv ff Signature: Please indicate your comment choice: Moment Agenda ❑Posted Item: please indicate item number ❑Wor ession: lic Hearing ❑Public Comments njh-6 meeting 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 37.10(a), Tampering with a Governmental Record. ,�.�- p�la�►do�e� -t,7l1� 111,25 Vjh�V6, 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: 5,�-G-r�--F�a-�L��- (E 1� �_S c� ��- w a o� vl City: Phone Number: ((' Ot) 3 (e 5 - ^2 21 Date: `?. - 9. - z t I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and a ide b the requir7z�� Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number OWork Session: O'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. ff� Ot 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. A Print Name: Address: City: Phone Number: Date: ,DI/► �� 4 1, '� 1 have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and a ' e by he requirements: Signature:ILA I) i Plea ndicate your comment choice: onsent Agenda ❑Posted Item: please indicate item number OW c Session: RIP-tc 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: Q K-�yy� 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 bythe3equirements: Signature: Please indicate your corn choice: dConsent Agenda OPosted Item: please indicate item number UWork Session: ❑Public Hearing EPfi6liic 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.