HomeMy WebLinkAboutJUN 22 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. r .
Print Name: aL.G � 7 L[c -wiz,
Address: '1 /J� 4->es
City: ,AL"-
Phone Number: c-(Q9 2 ( / 7 7
Date: C 2 Z
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: i% / / `
•
P le se indicate your comment choice:
1�3'Consent Agenda,
EFosted 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.
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: (t1) ,1
Address: t-' 3 \/ `( 007/
City:
Phone Number: 00 0 f 1 Z 6
Date:
I have read the requirements f r,/speakers \the mee i of the Beaumont City Council
and will adhere to and ide y`the eq i m nts:
•
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public-Hearing
kBPlillic 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.
Te_.4J- IP 0_
Ifyou lannspeak 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 rec rd.
Print Name: t& D. aer,
Address: 94-15-g-ioAc-44
City:
Phone Number: Cifi/1:) ( < `' `l ott(49 •
Date: lQ euloi-i
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and a ide by the requirements:
•
Signature:
2
PI%~se indicate your comment choice:
I'% onsent Agenda
❑Posted Item: please indicate item number
❑Work Session:
pus 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.
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:
Address: 1 q 7c\4t ec a< l (a
City:
•
Phone Number: cv- n? / 9 6 4'
Date: l0 - 2
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by the requ' ments:
Signature: •
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
ClWork Session:
,❑P blic-Hearing
'UPublic 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.