HomeMy WebLinkAboutJAN 11 2021 Q-)
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 an address for the official record.
Print Name:
Address:
City: iffy
Phone Number: //1 s(
Date: I I 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:f
•
Signature:
Please indicate you omment choice:
�1 Consent Agenda: please indicate the item number
II Regular Agenda: please indicate item number
Discussion Item
ublic Hearing
-
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.
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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: U Q/26(/Qi 4_1 got? 1 C —
Address: / 'r�r /(� �T-V4 7
City: ("ee(/ M!)/tlT--
Phone Number: ,_ /4 " 4i7 ` M5-6
Date: J//~ „2.0,�
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
❑ Public Hearing
I YPublic 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.
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 o our name and address for the official record.
Print Name:
Address: -5-1j
City: r.
Phone Number: .V 9i _r 0rga
�-�
Date:
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: , 1� ����
1 f/
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
Regular Agenda: please indicate item number 91-
0Discussion 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.
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: ff`GLYQ A. 37 h YL56h
Address: Y—`t' C)rij-e 6021.
City: Pa/LIMA"
Phone Number: � Z- f76—61zk
Date: ( J 1 2-
r
I have read the requirements for speakers i i the meeting of the Beaumont City Council and will adhere
to and abide by the require nts:
Signature:
Please indicate your co ent choice:
0 Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Eublic Hearing
`E '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.
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:
Address:
143 � ;
ge4(A1City:
Phone Number: (qicycii) & I` L77
Date: 1/ViZ)
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:
El Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
C P-u-blic ring
mil'-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.
PP
(10) 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/`d/72 , M/Yer
Address: (AO fr6171X71-7017 ( 6'
City: gc=%4 t7,/" ; T/t
Phone Number: � ✓ 7'9 . "
Date: .1% 022
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: /L
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
ODiscussion 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.