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HomeMy WebLinkAboutSEP 02 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 s elling of our name and address for the official record. Print Name: Address: 4415liet- o City: ( L� Phone Number: go 4 ,1?1 )LIUg61 Date: I 1.2.- 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: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ODiscussion Item ❑ Public Hearing \ti'Public 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. 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: A0(Ce iY 4,4/C if.,r3 BYLk c L. R.ry Address: ?936 Ci CC`diF )/, f City: ,1m 9 Phone Number: ()age 7t ) Ott e5 Date: eor" A I have read the requirements for :,,,ft. a e: ing g e Beaumont City Cou .. '-and-wilCadhere to and abide by the require ' iirilWAAillp Signature: ilk ortlimpoillill .,� Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ODiscussion Item ❑ Public Hearing ❑ Public 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. 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: 7Ut i �°CI B a(e_v o RD �Address: ��� S. D City: evi'0e `k 77707 Phone Number: $32 —0 3 Z- Date: (i7 / 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: please indicate the item number ORegular Agenda: please indicate item number .pbiscussion Item ❑ Public Hearing ❑ Public 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. 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 q,n r e/I 14, 0 Oer4e4L. Address: 6-6 7 City: g-pUJ Phone Number: q0 1 3 0� '- 7/Oc Date: //Z/Z02.1 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: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing public 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. 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: del Address: C/,2 �{0 rN t z S r City: Sego hi a it 77 Phone Number: 576 ' Y•�0 ,��- �� i Date: sqr d 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: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing Public 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. 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 a dress for the official record. Print Name: --4% (s. S&00 Address: Q4tIMrs City: Phone Number: y 5 b' V \ctSB 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: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑){iblic Hearing 1Public 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. 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: Address: j a`1S (3 Y—V Q v `, City: e_ck_1/4)—ttY` ) 1\4) ��1 Lo S Phone Number: c`AL5°\WS. Ci,4 3 Z Date: c 12 a 1 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: - PIease indicate your comment choice: 0 Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item o Public Hearing ilt-rublic 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. 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- rVcd—lJ �2AA S Address: 3 '7S �. iqq3b City: *c-Bec,.,c tn,c.a , Phone Number: C4bct.\ 353 —7 Date: Ctl r ZDa- I have read the requirements for speakers in the eeting of the Beaumont City Council and will adhere to and abide by the require s: Signature: Please indicate your comment choice: 0 Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item 0 Public 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. 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�fG/Yt 4 I/ ,I9ncJj? Address: 11/,� 2 v,i/ , S� City: i9 / 7> 79 / Phone Number: 1-/4 (fir/ �(� j Date: ra/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: 0.1//fif-/t Please indicate your com ent choice: ❑Coffin ent Agenda: please indicate the item number C►tRegular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing Iublic 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.