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HomeMy WebLinkAboutAUG 24 2021 eiv -tot • CDIf 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. PrintName: V &o1i . T�Id 65 Address: r/ L o, B o (1. -1'7-'l City: &'t i 15X P- "171 Phone Number. 10i. 5/(4 le 04 Date: C7 c , --l • (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: Signature: l Please indicate your comment choice: l ❑Consent Agenda T��t ❑�osted Item: please indicate item number f2�'Ip �. r5Cu�(oI.�' i ei I�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. c • 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: J Jfv ���� tr Address: ai1/40 City: c 'el3/Lveuv Phone Number: C4 ) 6 41 Date: I have read the requirements f speakers il\the meeting of the Beaumont City Council and will adhere to and abide y e requirem nts: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number EIWork Session: ❑Public He Comme is • 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. I • Print Name: LeY..4 j l A nfuk_ Address: City: nn ^^ (�/AQ/U1— Phone Number: \ °9 Date: s2/`g__•3 6( 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 ❑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. PG • If youplan to speak to Council regarding an item on the Consent Agenda or Regular P 9 9 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: j �t,U \ • ��I.0 I Address: -1 b C ktm V �� City: �\A--UW\ 1. 4- 66 Phone Number: D C( — er3k vl U3 Date: 2 Lj- A-v(l 20 2 I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid by the uirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ii.Work Session: ❑Public Hearing 1 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: ,6,Prglfru ('lNII (in 1 ct Address: 46C,Cae-' City: zezz_f." - Phone Number: 7 f `'k 4a6 Date: k-7.2 • 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: tat.Mr(D. Please indicate your comment 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 entry in a governmental record. Penal Code Section 37.10(a),Tampering with a Governmental Record. LP • 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: �� = �. . -'9�- 1 Address: 52-1 ` ,1L - City: S-2c` ,a. 1 Phone Number: �fl5) S b �'t 3 Z Date: g1 .-`` 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: e' Please indicate your comment choice: ['Consent Agenda [(Posted Item: please indicate item number ❑Work Session: ❑Publ' 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. C • 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: H 1G-w. cwk S Address: 1 d( V V 1 -^'t Gw i l C City: Phone Number: Lf U 3 9 I Date: r/2-F 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 ❑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. Pc • `? 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: Litt) L_ (Z. Address: -7 " City: P F ow 1.0 l( 7 7 0 A6 Phone Number: 0 9 C 6 D Date: e rz is 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: t `< • Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: )*ublic Hearing ❑Public Comments • Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits cm offense if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a),Tampering with a Governmental Record.