HomeMy WebLinkAboutSEP 22 2021 JA
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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 you na' ie and address for the official record.
Print Name: C i 0--e1( ZOLtilt
Address: S`"t LS ( 'L.,✓1,
City: l
Phone Number: 5Zd •j 4 40
Date: DA
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requirements:
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Signature:
Please indicate your comm t hoice:
❑Co sent Agenda: please indicate the item number
egular Agenda: please indicate item number .5-ci- I
❑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. V
a-AFI
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� me and address for the official record.
LPrint Name: �1,1/S A. Gt� /n.
Address: _l b 1 s nlAfiLx
City: -& ,t^o
Phone Number: ({o l
Date:
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requireme s:
Signature: u L
Please indicate your comment choice:
❑C5nsent Agenda: please indicate the item number
1egular Agenda: please indicate item number 4-`I'to
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.
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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 ling of your name and address for the official record.
Print Name: rQ� U 7c
Address: 9/ /77/42"..76--_3
City: ti r�
Phone Number: a ( 5
Date: — � 2 — Z
I have read the requirements for speakers in the eet' g of the Beaumont City Council and will adhere
to and abide by the requirements.
Signature:
Please indicate your comment choice:
El Consent Agenda: please indicate the item number
OR gular Agenda: please indicate item number
❑D scussion Item
u is Hearing
blic 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: v f"dh74 If I ' / CMC
Address: c G r ? Ec1f4/0Y1 CZ'
city: 6M7 /
Phone Number: Y O �v�D()l -g p 69
Date: 7/d9 / a /
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:
El Consent Agenda: please indicate the item number -
❑Regular Agenda: please indicate item number -
❑Discussion Item
Ptlic 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 spelling of your na nd address for the official record.
Print Name: OU/s` A LI t
Address: ( S eS
City: eca1!l'J o
Phone Number: 40 g3 4 5.3 3
Date: C/acz./c/
I have read the requirements for speakers in the mee ' of the Beaumont City Council and will adhere
to and abide by the requirem /
Signature.
Please indicate your comment choice:
CI Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Public Hearing
fiblic 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.