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APR 27 2021
• Ifyouplan to speak to Council regarding an item on the Consent Agenda or Regular P 9 9 9 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: /14Pfek' /\1' t Lt f1nJ Address: I a 10 k90171N61 1,+ Lf+1,1C- City: Phone Number: 1( 7r���G`1 7 Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid a requ'r ents: 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. a_A CV rLA c7 a If youplan to speak to Council regarding an item on the Consent Agenda or Regular P 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. 1 )r �/ Print Name: #rie-re /l /- (ate-- Address: q((J / (7, 7 . $ City: F.D( /di9 A). GI . j q 19. Phone Number: CL!',09 1 , I 'I Date: .�if ) d 1 / / I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the equirements: Signature: r. dite!/ yL__/ iP e are indicate your comment choice: onsent Agenda p 4 g Posted Item: please indicate item number ❑W rk Session: e g Iubiic 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. Pc • If youplan to speak to Council regarding an item on the Consent Agenda or Regular P 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,g ord. Print Name: /1 / . /g-rs-e Address: 26 City: pi; e f /‘ Phone Number. t d-_Q — 2 g 3 d Date: 1 7 2(J I have read the requirements fors ers i tt reset Beaumont City Council and will adhere to and abide the req • ement • Signature: • Please indicate your comment choice: ❑Consent Agenda osted Item: please indicate item number 2i- °I ❑Work Session: ❑Pub • earing 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. Pt • L'J 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: (0Sr— J 6ctivt_ell_42 z Address: j1ä LpL (c1it-i Jed City: ° V 0-1 -+ Phone Number. flO 9 q ' • q Date: `'.027 - 02 I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and ide by the r uireme s: • Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Wo Session: ublic Hearing gtf 3!5 C,&It1 woo (ji,ii)Y v�vVl J 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. • *4 -315 "E . Cal, diAccl . Lneighbo0 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: 5/9n C b >9 5 Address: �3 a F'. �' �� h/00 ,D City: d At evil/ Phone Number: Lf 0 2-- 20 f- L 3 3 7 Date: ''^ a 2r 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% Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Clork Session: QPublic Hearing OPublic 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. .041_ • tko ekk\) s Cnci or If you plan to speak to Council regarding an item on the Consent Agenda or Re lar 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: ,A4W \ vv/ Dr I Address: 45/0 I,c JI City: it\A+ r Phone Number. 4Ojtc "- I p tJ� � q • Date: � o (� ` 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: j\kJ` Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number CDWork Session: Difrublic 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. P--(4 +13.zc 15 L d ia. 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: L,4./.04 67 - fY1 UU 2 t- Address: , O'Tz-f)e 2e- L. ecchrz j c oc3)) City: ►oion.))- • Phone Number. G/Gg Pc c 4‘-/-7 Date: d427/-2- 1 I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abidey by the requirements: • Signature: ' 41-44 44.---- Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number CDWork 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. • ' 21J - 33f5 PcLris LDLCr\V5 0t 5 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: ( v p j . 7be w/!Is Address: / ? k 7-7-1 G City: 1,4j_it r t� � T-K 7—760 Phone Number: yam'-1-1 - L 5 g S 3 J-3 Date: 1012 cQ ? a_a 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: eice: c•-• n� Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑ ork 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. P1• • 12Q 33' 5 Pars C \-t- -10 PkXtQ3J 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: 3\ \� 8et ` \ �$ I0 '7n Omu' A 777d 3 Address: U ���5' S1 s • -A City: �� ��' I r1 / l0 Phone Number: L1 b`'- go1 3 7 Date: 9'1 ^(J( I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abidep by the require ents: Signature: W/-- .G t Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Wo Session: 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. P-11 4-23 - '1B 15 9in fi>° o -7 �L-l{orn Cr,Q� I� If you plan to speak to Council regarding an item on the Consent Agenda or gu a 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: - e' Address: tv9 c €e 5 �`"_t Cig. r 0 City: 1-OC.ld IT--- 7 7-7::=.) Phone Number: 0 61 — eiV / ( 0 Date: 4 J 2:j 2"Z 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 choice: OConsent Agenda ❑Posted Item: please indicate item number e❑Wok 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. Cl/ • S dnettrle:(-- Ifyouplan to speak to Council regarding an item on the Consent Agenda or Regular P 9 9 9 9 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: 'o e Gam;l(0 t y Address: Lc c,r�l City: I� a,d M a r� Phone Number: L1 V 1 s SV - )6 7 .6 Date: 4/242_02-/ I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide y t e r qu'rements: Signature: Please indicate your mment choice: ❑Consent Agenda ❑Poste Item: please indicate item number ❑W 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. f- 2lo - Ito S axrdco up 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 691911541 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: 7� � adi- ` P gafi Address: f/ 5 0 ,eA /a P Lo VA City: C)7A-0,17 Phone Number: "1 ©-( gf 0 CQ Q. 5 Date: `4 ` 2N*7 r- 0-1 I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abi y t r quire ;i` ts: • fir 2.5_,.\ Signature: Please indicate your comment choice: °Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: . . .ear:- • u 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. .itzq_Lw ( tfioAcuoiel • 11? 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. nn Print Name: Sf r3$ r j Pro rerr-Fie &P (jai) Address: .50 W M 4 s L,-Fg, Dr 4 City: / 5icc wre_ ) R/33019 Phone Number. 34-- 34 1 - Date: 4"27-- 2-- I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid by the requirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted 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 Tam 37.10(a),Tampering ering with a Governmental Record. PC . 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: Cc�i-,,�,v�,L. ,�C / y �ASOV I V / �' r ,n1 $7 Address: � � � V�D�I` J City: 3`e4�1et,c? T 9 --r)0 Phone Number: (1 0 � � c? r) Date: Apr, s 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: r Please indicate your comment choice: IJConsent Agenda ❑Posted Item: please indicate item number DWork Session: ❑Pu c 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. Ri 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: i'er7 J� � Address: S- S City: lewkoriJ 7 Phone Number: 0°1 14 �5t " 0 Date: � 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 choice: ❑Consent Agenda ❑Posted Item: please indicate item number O Work Session: ❑Pu lic 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. 1-cp 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-" `n Alac e. V ' `I TT t,t ,✓ K Address: 7 - MOO J crr dr City: ,2 GtitJvyz✓1 Te_l< S Phone Number. C ©q.) - 7 CP 3 Date: i l 9_7 ( 20 I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requi m s: • Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Pu is 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.