HomeMy WebLinkAboutAPR 26 2022 ?air
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 hatid 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 nameand address for the official record.
Print Name: ( ) C� / J ih e// •
Address: A2S:S- 6a-r7'[,,/ir,:( �j°. r
City: yje r-C cA vvtr DGl J
•
Phone Number: II(9S 22 - 25 s-S
Date: l - Z 6' V
I have read the requirements for spec ers in the meeting of the Beaumont City Council and will adhere
to and abide bypihe requirements:
Signature:
Please indicate your comment choice: •
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Public Hearing
El1blic 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.
Pe..,
ccDi
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: b i LJ2: V i" ``
J
).0
Address: _1 IS Loy, 41
City: ri
Phone Number: Te_, ( 0
Date:
I have read the re uirements for speakers in t, • eeting of the Beaumont City Council and will adhere
to and abide byghe requirements:
or
Signature:
Please indicate your + ment choice: •
El Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Public Hearing
T ublic Comments at the end of the Meeting
Falselyv 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.
0.,
q)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: r , C D iike f-
Address: J A<<�
City: � •'Vt C'�tlt ) �t�
Phone Number: f — 2:Pet gbr
Date: c i,([2 01)1"(,A
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide bytthe requirements: —
Signature:
Please indicate your c ent choj.c
CI Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Public Hearing
DI 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.