HomeMy WebLinkAboutMAY 04 2021 Ra •
(7) 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 rec .
Print Name: rOrV n4,00--C
Address: ` ST Skv-et-N_
City: '-V-) i
1 •
�"'�
Phone Number: q ?RI
�� � J
Date: C( [DJ
I have read the require ents for speakers it the meeting of the Beaumont City Council
and will adhere to and ide by t ' re 're ents:
Signature: (,
Please indicate your comme choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public Hearing
tblic 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: 1 'tA:y
q( U 51114
Address:
City: A;(eantlitt-
Phone Number: -
Date: 4- 7 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
I32'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.