HomeMy WebLinkAboutJUN 07 2022 Pc, .
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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 kn address for the official record.
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Print Name: (i‘-'— IC \ TV k (0&ct-il 4i X'
Address: c'109 --- Ve-,.
City: Cc- CAj WI 0 vt—i- ` .17
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Phone Number: 910 C\T c3C ' \J__( 3
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Date: v l A° a g
I have read the requirements for speakers in the eeting of the Beaumont City Council and will adhere
to and abide by the re iraxna N.
Signature: (------k
Please indicate your comment choice:
OConsent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
F'.1.' cussion Item
Rv.-
Plic 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:
Address: 7 U 9 %/-
City: A1/1/
Phone Number:
Date:
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
DRegular Agenda: please indicate item number
❑, iscussion Item
ublic Hearing
IPublic 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.