HomeMy WebLinkAboutJUN 29 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: /
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Address: t S S 7q
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City: IJ 0_"'
Phone Number: L( o 9 • 2 G C . `s ( 51
Date: r L ( 7
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by the requirement`
•
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public Hearing
C iblic 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.
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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. ' fl�Print Name: ede'.
/Address: � 11I)55
City: ?ai,10,1e7q.'
Phone Number: )/ f
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Date:
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I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by e,„
the requirements: J
Signature: ,/i /i/ A , '�/� /mac.,/
v/iJ I/"/ / l
P�!�a indicate your comm4nt choice:
I, onsent Agenda
❑Posted Item: please indicate item number
❑W k Session:
❑P blic Hearing
vf
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: ���0�-� V.-2k &V\
use O f- kc-�
Address: 52 1 �G-�) -Jt De2 G0,,a-peatsi-Glte FU
^� .cQ (�a✓ts2e�'
City: eft ►---e - ' Yr�
ckr -
Phone Number: C409) (v 5( ' i o 3 z
3aQ z_
Date:
l
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
Please indicate your comment choice:
❑Consent Agenda
[(Posted Item: please indicate item number
❑Work Session:
❑Pu lic Hearing
1 ll 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: IVa CAI 6ak VY1
Address: (QO` ) O UV) )1-0(//1/1)-16k)
City: rn0 o U'
Phone Number: `/5 o'-3 r0
Date: c' WV-0 0/
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to an abide by the requirements:
Signature: dinA0(
�-JC VJ
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
:Work Session:
❑Public Hearing
Ala 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.