HomeMy WebLinkAboutJUN 14 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 name and address for the official record.
Print Name: >cirn, Vaje.Z'
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Address: /56v V ii ► sT 01,1 P '7e C)
City: - Use -76 4Z
Phone Number: �7 r? ` 4 3 —O 3O "
Date: 1 cr 'Za ZZ--
Ihave 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:
❑C nsent 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 addr ss for the official record.
Print Name: � D (.t
Address: G
City: rf—cf)
Pho tuber: — a ( O*
Date: 0
I have read the requirements for eakers in the meeti ...of the Be m t 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
to iublic 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.
Dc
Z
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.
,l
Print Name: ar9 VV r LLt arn_ .
Address: oti 8() ki:i qs st -
City: Tilf\N--k-
hJ k)7
Phone Number: 1 V1SZ7 " 17 Q
/7
Date: (_cv, i 411—
02, g__
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requi ments:
,Signature:
t
Please indicate your comment c oice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ Public Hearing
tiPublic 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.