HomeMy WebLinkAboutMAR 16 2021j) 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: YI,n rl�
Address: ,/ c l OC-k U\Fv
City:
Phone Number: '� (0 U
Date: 3 `'
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I have read the requirements for spec rs in the meeting of the Beaumont City Council
and will adhere to and abi a by t requirements:
Signature:
Please indicate your comment choice:
❑Consent Agenda
[]Posted Item: please indicate item number
❑W,pfk Session:
.g
ErP
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.
OIf 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 re ord.
Print Name:S
Address:
City:
Phone Number:
Date: 1�3 . Cam -
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to an Lideythe requirements:
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
P❑P blic Hearing
Iblic 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:
Address:
csl—
City:
Phone Number: `moo � - (' - d-�
Date: � (;- 2SJ Z
I have read the requirement for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by the re it ents:
Signature: c�/�m
�
Please indicate your comment choice:
❑Consent Agenda
65MQsted Item: please indicate item number
[]Work Session:
❑Public Hearing
Nublic 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: a(&r) 0 e—V-e'U
Address: �./] L i'7 ai n
City: {z
Phone Number: / J T2 /
Date: C CJ I
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 comme hoice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public Hearing
Lublic 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.