HomeMy WebLinkAboutAUG 17 2021 CPO. 0 PD t� @1
Pn 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
b 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: (( 11� P(C
V
V
Address: $t 3 & (1A(A
City: 5 1
Phone Number: L104.. (1 -'3(
)
Date: c— `1 -aoal
I have read the requirements for s•eakers in the meeting of the Beaumont City Council
and will adhere to and abid- = • - e• =
Signature: ��
Please indicate your commen' ' • ce:
Clconsent Agenda f �y
19Posted Item: please indicate item numbet�0'D'r 10
LIVtork Session:
/ blic Hearing
MPublic 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.
Pe •
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, r 4 &r r1P 41
Address: ( 77O ( r CI
City: 67141_
Phone Number: 9 /U u(k)
Date: ,'I I
I have read the require -nts f• sp akers in the meeting of the Beaumont City Council
and will adhere to and • • ;y t requirements:
Signature: 4 / / f
1111111i
Please indicate your commen choice:
OConsent Agenda
❑Posted Item: please indicate item number
❑Work Session:
•Public Hearing
pp •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.
a .
.10 •
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 recor
Print Name: AM ����
G'
f/
Address: a6 ( < e,4 "015
City: / /2r71
Phone Number: (lc C) 2 g '— ( c.
Date: g--- ) 7 Z v Th- (
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide b ements:
•
Signature:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work S sion:
❑Pub •' Hearing
lic 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: LGGOS �1 �(
Address: ; / S MA p s
City: lit i'1;1O1
�
Phone Number: +0 4 ? 3
Date:
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abid y the requii ments:
Signature: — � -� VG / G'
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
OWork Session:
❑Public Hearing
' '1Public 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: Q(O 1 e. / -Jec)eA
Address: l t I ,? LvAlo4
city: g 2 7 -7-5
Phone Number: LID? 63') Fa?
Date: V17/9/
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:/s
Signature: /jJ
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
CUWork Session:
❑Public Hearing
19Pfiblic 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 reco . /( /� /
Print Name: c%41 V t �(,�Go g-41
Address: /' v/ o �l
City:
•
Phone Number: 7 rJ
Date:
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide b _'he requirements:
Signature:
Please indicate your comment choice:
I2IConsent Agenda
❑Posted Item: please indicate item number /0
❑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: 0s-ov1 (,h- te
Address: 56 6 7 (ci -Q
City:
Phone Number: (9 ) / /— 957
Date: / 1 7/ 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:
Please indicate your comment choice:
OConsent 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 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: /,4J', ,,(,
Address: 4/660 ..4, A'A- 2Z
City: Or/laird, ,, /
Phone Number: -ZC Z
Date: f// Vooe
I have read the requirements for speakers in the meeting of the Beaumont City Council
and will adhere to and abide by the re u' ents:
•
Signature: C
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number `19
❑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.