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HomeMy WebLinkAboutMAR 30 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: a /� ?��"l�l 6 Address: 53 �s 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 requi�emenfi -, Signature: Please indiGate_yern comment choice: ❑Consent Agenda ❑Posted Item: please indicate itemLwi Mork Session: ❑P/iblic 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. �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. /r Print Name: '�Q' c� �2 Address: 5 G -sp f City: (ZQ U Phone Number: 42q~~ Date: 01-^ o C 2 f I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and gbide by,the requirem"is: , I Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Public Hearing Oublic 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: �� 0, � � City: Phone Number: Date: l d 1 a I I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and ab'de by the requireme%%nts: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑P 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 37.10(a), Tampering with a Governmental Record. 0 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: 1 S C, \ City: Q Phone Number: �`z-��- ) t \ \ Date: O M-ZA I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the require ents: 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 with the correct spelling of your name and address for the official record. PrintName: �1AID Address: City: Phone Number: Date: 5�1�5 SunbU@�v l�R. 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 []Work Session: ❑Public Hearing L<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. �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: 0 /A/ �c.� ,',� Address: City: 1/5��-c-Cr� 7`— '2 77j Phone Number: L/D /O U Date: -�V3 `�/� 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" 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 with the correct spelling of your name and address for the offici r_ecg.rd. L Print Name: 94f du 11� Address: I f es City: &, Phone Number: log 0 ,36 Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abi y the requiremen . Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number OWork 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.