HomeMy WebLinkAboutAPR 20 2021 •
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: -&.''LA 1\c -- \‘r--t
City: Q)10_ AJ�0.k , d
•
Phone Number: f_,AcsCS O AS\ Lp
Date: Ai ? c>
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
DWork 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
lJ� 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 rec rd.
Print Name: J '( tO \
1
Address: (03S'S"
a
City: tO_ r`i\ on -TV
Phone Number: 12 C,.�� 2 ( 5 (3
Date: %/ o /9
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide b equirements:
Signature:
Please indicate your comm choice:
CDConsent Agenda
❑Posted Item: please in ate item number
❑Work Session:
❑Public Hearing
\. 40'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.
Print Name: Demthve„Address: 6 WO � />� �7
City: pg../ 7 77706
Phone Number: /(/ ?:- 771 V7ô
Date: t/ J V
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:
❑Pyblic 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: \ A ' "C \w- --
Address: "4IM Vv--0-D i QN-tQkk
City:
Phone Number: t)\J siZA° ~ 5P\r)
Date: `41
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:
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.