HomeMy WebLinkAboutJUN 01 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 reco31LC1
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Print Name: � � V W
Address: 1 6S O A ►C� A11,\ 1 c d
City: AA USG Y�
Phone Number: 5 1 v go'L.-L1 Vj
Date:
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by require ents:
•
Signature:
Please indicate your corn 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 entryin a governmental record. Penal Code Section
9Y
37.10(a),Tampering with a Governmental Record.