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HomeMy WebLinkAboutAUG 31 2021 QI) 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 corre/(YCTO ling of your name and address fo the official record. Print Name: (,/ , % n Address: 2I ) # City: , Phone Number: t 6 q- ?.8? 3 O ° 1 Date: 8 3 ( - ? so- I have read the requirements for speakers-irc'the meeting of the Beaumont City Council and will adhere to and abide by the requirements Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular�r Benda: please indicate item number ❑Disco on Item ❑P is Hearing ublic Comments at the end of the Meeting 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. PO_ 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: �ti. i--op(4el lk.,`c&` we Address: IJ_ AAc o✓ c 1 City: —Tek S - Phone Number: C'4 o c 3` F - (.,(3 Date: 1 3 1 / 2r, •ak I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requireme Signature: Please indicate your comment choice: El Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item 0 Pub ic Hearing ublic Comments at the end of the Meeting 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 s elling of your name and address for the official record. Print Name: 64 4 c 4s (7)- (.1 7-70','i Address: 1' 55 MA-p s Sr City: 3 -1 7 TY 7-ram 45 Phone Number: �61. 2 a'i. '5 Date: "r3f/2 I have read the requirements for speakers in the w eting of the Beaumont City Council and will adhere to and abide by the requirements: Signature: Please indicate your comm nt choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing ©'iiublic Comments at the end of the Meeting 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.