HomeMy WebLinkAboutNOV 09 2021 (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.
Print Name: 'J /.7L - 1i�J /�CZ/
Address: 7E t-2Sy11-1—Lf
City: h r) I
Phone Number: c1-2_'/1 — —7
Date: l 1('? /2.-ii Z
I have read the requirements for speakers in th 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
❑ egular Agenda: please indicate item number
❑ Public Rearing
P 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.
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 name and address for the official record.
Print Name: F-1 ( ,
Address: 76 I �!'• y
City: 60-k T-
Phone Number: 3 LI to ~ C/! .3— 61 3 ( 6
Date: / I
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requiremen :
Signature: 2-9e
Please indicate your comment choice:
El Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
ODiscussion Item
❑ Pub ' earing
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.
QG
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: t1 I'11,(/w(/flttnct
Address: $\ S..P Inc `S taY1pl .
City: 6LUJIYI,
Phone Number: qv 1. 1- 11/4M
Date: 11 '61 -
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requireme ts:
Signature:
Please indicate your comment choice:
OConsent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ P blic Hearing
I 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 spelling of your name and address for the official record.
Print Name: . / a (' c.i` Z. Ca- U.
Address: ( �,:�'' TLQ a/t/L
City: � 'e'act-itYld-1 `
Phone Number: Ye-)g- 7 c3) 3 2.
Date: l / — - 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: a.A. C-- (�(��c--e/
Please indicate your comment choice:
El Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Public 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.
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 corre spell" g of your name a d address for the official record.
Print Name: 1 r I, k ct y I nW
n s
Address: '95 `
City:
Phone Number: d.J - L qc_ <e7
Date: G i.�,
I have read the requirement or speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requir. ts: 140
Signature:
A`
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
0 Pub Commentse Hearing
lie Co 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
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 namer and` address for the official record.
�
Print Name: ( o1- �� C:ICi>k)
Address: 0 Z7.O ?(h2 4/v
City: 5 fi M'e1J7 7
Phone Number: V627 67 3 2,—/
Date: J 7 9‘-°2,
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: (-�( �iy✓Leit�o��i
Please indicate your comment choice:
El Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Pyblic Hearing
I21 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 spelling of your name and address for the official record.
C \
Print Name: `ns o phei t v a`-6(eVic
Address: Q 'V AA61 si
City: ea A/1k I4ACcS
Phone Number: C 0 CO C9 3
Date: Ll / / ( c?,'Ot
I have read the requirements for speakers in the m eting of the Beaumont City Council and will adhere
to and abide by the requirem •
Signature:
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ PPblic Hearing
VE'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.