The URL can be used to link to this page

Home My WebLink AboutSEP 28 2021 41-ri 1 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: li(l/f§' ( q,A Address: 3Ls.-� t..-74Tti...toSS t City: "` 1 Phone Number: 14r — 1 C(V (As I Date: "l-'��j I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requiremen s: Signature: <� > Please indicate your comment choice: El Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item CR 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. 2,S 1-1q5 Sell\W cLry r 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. t�. I Print Name: i` \I en � Address: Wood LI lJ•;n <111 I City: -eac;i Y1()'''V1 • I Phone Number: LEI — 3 c, 9 2,—6 7j Date: 09 I 1 202) I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirements: I^J Signature: ()2Vij j N YL C Please indicate your comment choice: El 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. , (11) 111 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 corrects elling of your name and address for the official record. Print Name: or Cr ��'/4 C y Address: /741A1—/45"S S'-5-3— X Ci_evv-/-) City: §/v7xe.„4-c/ALIDA"Phone Number: Date: 54, r .2-0.2-,z. I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the require nts: Signature: izir, ____ Please indicate your comment oice: ❑Consent Agenda: please i dicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing is 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. AC 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: Y\ F 2`tc I I'(2 c Address: 'C C C Lithe O L City: QGL w --))4 Phone Number: _ L-10 Ci) tS6— cQ 32- 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 ODiscussion Item ❑ Public Hearing [ Glic 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. I' 0 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 ayd address for the official record. Print Name: Z L AM Sid-q- (IL yi) Address: /0 I f`e(;vr City: c 1^---� �— Phone Number: V O l - 7 f t3 - 7 'S 1 _ci, V .- and 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 requirements: 1 Signature: -� �J Please indicate your co ent choice: El Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing C 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: Wit g�,,,,� Address: 133 City: 04 r,214� 7 7 7 D 1- Phone Number: �'�` -Q 3 �, DI Date: S�p fi 2, 8 3L 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: . iv ,{�s� Of 5 44.4 74,- Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing 19,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.