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HomeMy WebLinkAboutOCT 26 2021 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: J /r4IZp' i 0114 Address: 2 1 i430 k -Pt- ..- City: 1-f.L`t/1,pAi - Phone Number: Cq° 6 ` 6 73-OF4 Date: /0 -- Z s• ' a I I have read the requirements for speakers the meeting of the Beaumont City Council and will adhere to and abide by . e re• :ments: Signature: ,441111( / i- . , ase indicate your corn -nt choic Pc.. onsent AgendaC./ ❑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. f2C 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. `Print Name: f 1^j pv eU)'(-- Address: 6 J ` ( Low reA City: git Phone Number: 6 J 0 / 16 J Date: I 0 /16 ID I have read the requirements for speaker 'n the meeting of the Beaumont City Council and will adhere to and abide by the requirement • 7 Signature: Please indicate your comm hoice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing it 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. 115 • 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-- /Kkk) Address: 2 UPS 1541'64) y City: 66 exon Phone Number: 70— Date: l/6 Zf I have read the requirements for sp akers in the m eting of the Beaumont City Council and will adhere to and abide by th req irements: • Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number DWork Session: 55lic ictteari 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. ec 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: G (v` S 2 J ►�'� c Address: /O7s� / ,'-`a v-i City: - — Phone Number: ' ' 'T 3 ea c2x7e y S Date: %C3- 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: S Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing gi 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 s elling of your name and address for the official record. Print Name: ly,) )2/1"01-71- Address: r5S f ' /.4.->C3 Cr City: '7 -77d7 Phone Number: c(Z) - Z0 (- -( 3 9- Date: / 0 - 2 - Z l I have read the requirements f • akers 'n t meeting of the Beaumont City Council and will adhere to and abide by the require e ts: Signature: 1 Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑R�ular Agenda: please indicate item number I 1 iscussion 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.