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HomeMy WebLinkAboutMAR 23 20213 W il� cbll� . . if you plan to speak to Council regard' g 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: zo voe_.�it r, Address:�� City: Phone Number: 7' Ck70 (��CDa Date: I have read the requirements for speakers In the meeting of the Beaumont City Council and will adhere to and ' e by the re uirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number 0 ork Session: Vublic 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 37.10(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 o� ' ial record. Print Name: l rT t�( Address: r 1 City: Phone Number: Date: AL9 �B5 9`7 '5 94 I have read the requirements for speakers in the meeting of the Beaumont City Council and will a er-ta;and abide by thet�eciremen#,s: Signature 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. 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: `k(\\'Q Address: City: Phone Number: �id�la<<oyLi' Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide the requirements: Signature: Y �- Please indicate our comm / choice: [Consent Agenda ❑Posted Item: please indicate Item number Mork Session: tPublic 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 37.90(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 re ord. i Print Name: VO�. Address: City: Phone Number: Date: '7> '"� —! I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by t equirements: Signature: - . Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number DVPK Session: $Mlic Hearing L ❑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. �V -0. 0 - (A), bjj� 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: City: Phone Number: Date: a s- o 9 C..(p t o A,) e - Yb2 &3a- 7'/0 ?- a I?- T / 2.Q�z I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by th requirements: Signature: Please indicate your comment choice: ❑Consent Agenda lease indicate item number C $ �� OWAfk 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. PP P Gp� $Vie_ 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: City: Phone Number: Date: oL c I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and ;M7 ments: Signature: Please indicate your comment choice: ❑Consent Agenda �) ❑Posted Item: please indicate item number— ❑W'rk Session: [R 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 Govemmental Record. 7 FT T 6�1j �d'V"��/pv�sr-���llJ-col/ 1-i�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: City: Phone Number: Date: r/�? ////,0-0,— I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide y th q 'rements: Signature: Please indicate your -comment choice: ❑Consent enda ❑Post Item: please indicate item number irk Session: 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. 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. /j Print Name: �.,V G� Address: � r `i' City: Phone Number: Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and aE I e by the requir ments: `a t / Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: -t hblic 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. Okik W I &aluo �C�4L 010" &?t 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. P _ Print Name: Address: City: Phone Number: Date: I I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and an y tthe req irements: 10 Signature: Please indicate your com nt choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: V 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. V �T 1 U -/- , � fl� �- CG If you plan to speak to Council regarding an item on the Consent A=genor egular 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: City: Phone Number: Date: I have read the requireme or spe� in the meeting of the Beaumont City Council and will adhere to an bide h e ulrements: Signature: Please indicate your co Iment choice: ❑Consent Agenda // ❑Pos ed Item: please indicate item number ❑ ork 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. 0 � I �F T 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: 17S(O�&NIJ City: ��U"VV-" 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 requirements: Signature: v� Please indicate your comment choice: �UConsent Agenda ❑Posted Item: please indicate item number Mork Session: 0,blic 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. 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:ar Address: l9 23 &rocJ (,-ja S i City: -77 i O Phone Number: -� Lo _7 / !�—Oa&9 Date: I have read the requirement"r shakers in the meeting of the Beaumont City Council and will adhere to and a ide quiremenfis: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑0blic 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: `� / �'x�-{ Address: City:rX %>TZ7, 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 requirements: Signature: Please indicate your comment 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 I th the correct spelling of your name and address for the official record. - - Print Name: Y - - / V U Address: �5J l C4, fi►� City: - Phone Number: Date: I have read the requiremenn 1 and will adhere to and uMde Signature: Apeakers in the meeting of the Beaumont City Council the requirements: Please indicate your ment choice: ❑Consent Agenda 7 ❑Posted Item: please indicate item number Mork Session: ❑Public 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 37.10(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. �AA1•_1 Print Name: i u1(A�_ �-42 Address: U� Z)kj-wag" kjI V\O-, 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 requirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number [Mork Session: WPublic 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: fV\^,ox Address: �3 Vd Q City: `r )ONI 1, Phone Number: Date: I have read the requirements for speaker in the meeting of the Beaumont City Council and will adhere to and abide by the requ reM9nts: Signature: Please indicate your comment choice: ❑Consent Agenda []Posted Item: please indicate item number ❑Wor ession: ❑P lic 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 37.10(a), Tampering with a Governmental Record.