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HomeMy WebLinkAboutOCT 19 2021 C,A (4) 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: 33 -o �� �� U d urc,,Q 0NiOrlt0 Address: � �� G City: Phone Number: I r7' 1-0 Date: t o t � ( . ( 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: is '9 Please indicateyour comment c e: o sent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number • ❑Discussion Item ❑ Public Hearing 0 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. lam `' 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: Ca-4rO ( C:> 4'y a(,G'{Nlp'Yl a1 Address: 5? f'✓f?t11 S1--c • /0-3 City: —7 7 O/ Phone Number: 0 Date: j0(2/ /2oz-I 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 r:SRegular Agenda: please indicate item number j ❑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. LA Pik 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: 3Z/e � A, T— CiAk ef07){4 Address: 70Q /,/ 774 gr City: ,/iee1-0 °Ad— //1 Phone Number: 7--73J� 7F,2 Date: /P//94Gr -./ 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: I✓/% � ��!% G��%�'� 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. Nar 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: ''R.Y/6.0q S M I T H Address: G 0 C3 M.A. Kt &-r. �Q� E► la City: c,xl _ J2A oft Phone Number: 2 C7q — j 3 3 — Sl c,CD 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: lai nsent 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. &iiik • 41 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. ' �.p Print Name: SNY- \O� 3\raWk0.-V1 ( a� - AV°V" -1gatAD ( Ste; ems Address: C �-` City: b.e.oadui\N -wL,3c- . Phone Number: (_ 4O0,) ¶3a - U\ _ Date: IDC)c; \ 1 goo- I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and 'de by the requirements: Signature: .011?' _ . Please indicate your comment choice: yConsent Agenda osted Item: please indicate item number Al IjWork Session: ❑Public Hearing public Comments 0-\---- __N C.6-._.‘„c_a_ 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. • IDIf 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: i `ro Gray Address: Q rvjtvtlB Aid 5P I a al C� City: %.4 ''Z•Di'1 Cl[aAitio Phone Number: tio 7- E "0 -176 Date: 1 D1��/e,D1 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. eA • 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: `^'1 h ass le /Arki riuk lrn& 1)( Address: 50-0 ,'-k t van Sc City: Ct t,t.tM.Ina ' T Phone Number: 1D1 Date: ID it -Z 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: rd'C. sent Agenda osted 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. p 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: ,� � C'�C ( (' S >L4C-1- P) Address: r5 S .() F?-pL S S-7 City: � �v.,,� c/� . •7 7 7 Q'r Phone Number: 7 G ' • 2-O(- g-(3 Date: /0 / — Z( I have read the requirements for, sakers in the meeting of the Beaumont City Council • and will adhere to a l ' e tie requirements: Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑P blic Hearing OPublic 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.