HomeMy WebLinkAboutNOV 02 2021 a-mcc)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: CO I (-LA
Address: -1 0 I , `-7
13
City: 5 on
Phone Number: 3 ` r 3 - 6
Date: (/ V/ 0
I have read the requirements for speakers i the meeting of the Beaumont City Council and will adhere
to and abide by the requirements:
Signature:
Please indicate your comment choice:
❑Cons:11 genda: please indicate the item number
❑.ty -'ar Agenda: please indicate item number
scussion Item
❑ Public Hearing
Xi'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 /elling of your n me and address for the official record.
Print Name: 1 G �'�^ q\l‘CA4
Address: J b i S Loi- o\
City:
Phone Number: I �oz 9 L3
Date: L D-42
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 comme oice:
El Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Public Hearing
Wublic 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.
1°c
eo
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 nam nd addressor the official record.
Print Name: JQrf oLI' �
Address: 5,
?s,_
C� d6? /1 / lv
City: e 0 2s
Phone Number: (9°19, Lcii3O — G (/
Date: / e/zo Z
I have read the requiremen or speakers .1�J' eeting of the Beaumont City Council and will adhere
to and abide by the require ts: , Air
r�
Signature: '// of
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Public Hearing
ISViliblic 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.
fc,
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 y ur name and address for the official record.
Print Name: ______ "
Address: I S
City: G
Phone Number: '°-1 3 i -0
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
❑ ublic 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.