HomeMy WebLinkAboutMAR 09 2021PC
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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:
Address: �n G /C" l'j k
City: �' lr�'►� i^�
Phone Number: 2161 06, q - .3 1-/l
Date: 4- / [7 11 X-2 d �/
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by t e req 'cements:
Signature: A-
Please indicate your commeWchoice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
❑Public Hearing
Wublic 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.
C
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: Eclat)
Address: n S ��'� C'
City: M T
Phone Number: 5 is Aso 2
Date: () / i ! / 6 1
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abidd the requirements:
Signature:
Please indicate your cqAent 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.
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: W'
City: -7 -S
Phone Number: 61p5j 2O`3 - 4r-)[) o
Date: 3 - n ` Z
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by the requi ents:
Signature:
Please Indicate your commen hoice:
❑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.
I
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 —,cord.
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 quirements:
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
❑Pu 'c Hearing
OW'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.