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HomeMy WebLinkAboutJUL 13 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: �, L'�� '� \A Carl 2 ^ Address: k O b 0 ��- �F2 cam° City: �'v -� 'TX • Phone Number: LLD J b O - Co Date: L ( ' s I have read the requirements for speakers in the meeting of the Beaumont City Council • and will adhere to an abi a by a requirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑ ork Session: 'ublic Hearing ,al,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: LA) y 1- . G G t -$- Address: 1/16-4 tD City: ?_u (ve1 Phone Number: CDC 3 S l l ciND 1 Date: 13 \\ r aoa l I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid rthe re uire n s: Signature: g-- Please indicate your comment choice: ❑Consent Agenda DPosted Item: please indicate item number ❑Work Session: ❑Public Hearing E 1'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. 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: ..:-S J EJ T -re (? S Q n Address: Lt '7 6 LLLc k n �� City: !ALA u,i.rh On—I' Phone Number: (+VI e el 014_4 D ) 21 - 3 1 D J Date: ,) l 3 aD I I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and bide by the require ents: Signature: Please indicate your comment choice: OConsent Agenda ❑Posted Item: please indicate item number ❑Work Session: tElirkulgitidEi4kiiftig 3Rublic 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 u with the correct spelling of your name and address for the official record. c Print Name: ci./"// j f Ch Address: 7 241 De 2/4V r 5--r, City: J k Phone Number: L/ D /c7 Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to abide by the re irement i Signature: Please indicate ur comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number DWork Sess' . ❑Pu i Baring 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: n - V& ui/V Address: U I S C v ('�II c rlw ' City: Phone Number: c5 i LA Date: ( J I have read the requirement for speakers in the meeting of the Beaumont City Council and will adhere to and,abideby the requirements: • Signature: Please indicdte y• r .omment choice: ❑Consent Age :a ❑Posted Item: p' -ase indicate item number ❑Work Session: ❑Public 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. • 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: C7kKi S`r0 �l Its _ P Address: `3?1 5 k) KX191c5f er City: r✓� l )( S • Phone Number: CC) 33g .1 C L Date: Lk \3 *D- I have read the requirements for speakers in e meetin of the Beaumont City Council and will adhere to and abid by the re ire -ents: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Wor. Session: p�e.lic 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. • 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: Ck \40\-•c- 7 C� VLF Address: /1)04` `)c 1j-+-v-e City: l`�Ply vv..0 v) o Phone Number: LI - O '-9Dj Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid 'by t requirements: Signature: Please indicate yourLmme c oice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑yVork Session: l lic 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. itA 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. M1 V- Print Name: ``r` �- Address: / O� 1 4 City: AiLetc( Phone Number: q) 7 ) (I) Date: 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 ❑V,ork 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.