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HomeMy WebLinkAboutAPR 13 2021 PIf you plan to speak to Council regarding an item on the Consent Agenda or Regular O 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: //I�es�U. Y\rN �Phone Number: C�4 � O J�, /(O Date: 1 have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abldR by the requirement( Signature: Please indicate your comment choice: OConsent Agenda OPosted Item: please indicate item number OWork Session: OPublic 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. r� If you plan to speak to Council regarding an Item on the Consent Agenda or Regular �J 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: N '�> ;�74 Address: City: E.FiGY*v✓ f Phone Number. S109- Bvy 'ZOZ Z Date: ��J/20Z/ 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: ( ��L C' Please indicate your comment choice: Consent Agenda OPosted Item: please indicate item number Work Session: OPublic Hearing /)*ublic Comments Falsely Identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense 0 he knowingly makes a false entry in a governmental record. Penal Code section 37.10(a),Tampering with a Governmental Record. Pc O 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 outthis 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. ' V Print Name: ''eII"I Address: 5 r City: )L MQ� Phone Number: \ — 5 d 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: Xis== —A•�o�� Please indicate your comment choice: \llJ ❑Consent Agenda ❑Posted Item: please Indicate item number [Work Session: [Public Hearing MPablic Comments Falsely identifying yourself on this enrollment torn or orally at the podium may constitute a crime. A person commits an offense ff 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 oft'f ' ! Icord� Print Name: �P �u4 µRs SIy Address: 2gL City: �yf3aou \� �X ��') r Phone Number: ( "' 'W Date: wlrt3 I have read the requirements or speakers in the meeting of the Beaumont City Council and will adhere to and alaid,p the ri r ents: Signature: �/ Please Indicate your comment choice: OConsent Agenda OPosted Item: please Indicate item number OWork Session: OPublic Hearing Allsublic Comments Falsely Identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an offense ti he knowingly makes a false entry in a governmental record. Penal Code Section 37.111(a),Tampering with a Governmental Record. drti 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 5 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... C Print Name: b S O� 1 Address: � I o� OraA�}y S1 , City: Phone Number. ' :l`r7S 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:" Of-onsent Agenda Posted Item: please indicate Item number OWork Session: Tulic 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 govemmental record. Penal Code Section 37.1 g(a),Tampering with a Governmental Record. 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 official record. / Print Name: '-�121AW4'ez 7r6✓i//P p Address: Zq4 P �{��'Q�cAf l/r City: j�//yJ'r Phone Number: l0N 6'./^f673 Date: Y-!3 .,?f I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide b the r quir ments: Signature: please indicate your com ent choic . LjIdEvonsent Agenda OPosted Item: please Indicate item number OWork Session: OPublic 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. A�PAa&. 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 offs cord. Print Name: II l` �9.D.7JfJ Address. City: Phone Number. �'-ii(7cn Date: Lt— 1 -3— Z-1 1 have read the requirements for speakers In the meeting of the Beaumont City Council and will adhere to and ab by the requiremec\� Signature: Please indicate your comment choice: �sted t Agenda sled item: please indicate item number OWork Session: OPublic Hearing Ii611c 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 g(a),Tampering with a Governmental Record. "9nk -- 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: / Z.t.l.�/ Ma ' Address: L! j) a-Z� City: Phone Number: Date: VO I have read the requirements for { a is in the meeting of the Beaumont City Council and will adhere to and i e ) quirements: Signature: Please indicate your comrfient choice: I gCpnsent Agenda (h Wasted Item: please indicate item number _ r [Mork Session: OPublic Hearing OPublic Comments Falsely Identifying yourself on this enrollment foam 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. CIA dk 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: ��/ (��r' ' Phone Number. Y/ `7 "'7J `I/ 01� Date: I Or � �.1 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 c Ice: OConsent Agenda '�,*osted Item: please indicate Item number OWork Session: OPublic Hearing ❑Public Comments Falsely Identifying yourself on this enrollment forth or orally at the podium may constitute a crime. A person commits an offeme 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 BII 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: —1 � Y Address: \ s \Vm.R� a City: ?'aatwnu4 -C Phone Number. «Ugl 144a- 651 � 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: h❑ onsent Agenda osted Item:please Indicate 'Item number L Mork Session: ❑Public Hearing ❑Public Comments Falsely Identifying yourself on this enrollment form or orally at the podium may constitute a cdme. 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 yo to helping us with the correct spelling of your name and address for the official recd. Print Name: C�^�(/. r/ 74 l Address: �o� � �w9��C>-09 O/ City: Phone Number. Date: /• 07� have read the requirements for sp , ers ig a meeting the Beaumont City Council and will adhere to and abide by the requi me Signature: Please Ind ate your comment ch ' [C ent Agenda osted 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 N he knowingly makes a false entry In a governmental record. Penal Code section 37.1 O(a),Tampering with a Governmental Record.