HomeMy WebLinkAboutAPR 05 2022 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 nname/and address for the official record.
0 Q Print Name: D\ l`Q(a off+ 11,. _ ( (`'l
Address: L 0CJ C RQ i` () t‘‘2- R fin-,
City: eQ, Prl C) v1 J
Phone Number: L! 3ti7 7 2
Date: ` S " D.
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: t ( M7ci.e_!/
Please indicate your comment choice:
❑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.
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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: /5/ySk',/
Address: r , s .9 .
City: I>
Phone Number: � O'7 67'g 07
Date: 4.{
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
'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.
,. kir)Print Name: .j,:�.4 %A
Address: (c/bC/5
-
City:
Phone Number: 0J G.2_26)
Date: 4/6- /our-
/
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:
i
S gnature:
Please indicate your comment choice:
❑consent Agenda: please indicate the item number,
[regular Agenda: please indicate item number l
❑Discussion Item
❑fPublic 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 spellingny L(
of your name and address for the official record.
Print Name: �'CI D l t� jr-l 914
Address: �33 r5 I �T• 13i11 ,6y-1
City: 6“1-6
Phone Number: 'LIO q^ 6 5 6— rJ s 7
Date: O
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requireeents:
Signature: (aiL,
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
[Discussion Item
eating
Comments at the end of the Meeting
False y urself 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: D• �Eng l t-at. ►
Address: 76
City:
Phone Number:
6?-6ED - a
Date: �II
I have read the requirements for spec rs in the meet'. g 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
DRegular Agenda: please indicate item number
DDiscussion Item
❑ Pub1ic4Iearing
. 2 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.