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Home My WebLink AboutNOV 16 2021 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 off your ,nname and address for the official record. Print Name: Yf ,e / I r P,is� Address: 7o 45 eu City: ie't-4%/0 Phone Number: &0& MI- 1 ) / Date: ' "CO L I have read the requirements for sfia‘kers in the meeting of the Beaumont City Council and will adhere to and abide by the requirements Signature: y Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number DDiscussion 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. 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 yourf'Jepv'eA1)z name and address for the official record. Print Name: Vt �� Address: 3 15 ire* City: Phone Number: 5 Z 5oZ Le Q ? Date: I VI(0 / I have read the requirements for :ea 'rs in the eeting of the Beaumont City Council and will adhere to and abide by the requirem: ts: Signature: 41/ Please indicate your com s• •nt ' oice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ Public Hearing Zel-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. a p Ail , , '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: 1-_ na 1 W�� - Address: k5(s, S ,AD ,o v \y _ City: a, 'l'`M c :, I'\—\--- Phone Number: ( " < ) Date: 1,\; V-Q.-- 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: .r.A.c.._...v-L...,...N_ ✓� 'L Please indicate your comment choice: \ ` - EIConsent Agenda: please indicate the item number k-Q-A`I\ t\ ❑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. 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: LAN Cie- , GAN Address: V 094T())1\ City: O e_A0404- Phone Number: ` 303,1' ` Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirement Signature: Please indicate your comment choice: 0 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. 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: \( GL re(.. , 4 Address: L 8 l7 dtOP tkao City: e-(.L1/41,{(yLCter- t 1. C Phone Number: 7'3" Cv Li-6N Date: l j— i b—42 u I have read the requirement or kers in the •,.' ; . • :eaumont City Council and will adhere to and abide by the requir: Signature: Please indicate your com •nt choice: ❑Consent Age'da: please in. • e th• tern number ❑Regular A:.'nda: please indicate item number ❑Discus •.n Item ❑ P : is 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. (.V 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: \ 6 \4- , Address: /CM k - City: 73 a V itrA ` Phone Number: J J — L)dPj °Ant Date: 110 W6L-0,tcal I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the require• ents: Signature: Please indicate your II ment hoi : CI Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ODiscussion Item ❑ Public Hearing 151 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.