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HomeMy WebLinkAboutSEP 27 2022 &,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: (3Ow ) t • B 1cl Address: 7 B Ln v ki 6,� City: (6fr`- t - Phone Number: Date: D--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: ,01 Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number DWork Session: OPu lic Hearing ublic Comments • 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. f • 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 h&le /1�� 1 / U r✓ Address: 5"1 5 E 1 nr t fl S _� City: 3 f Phone Number: ( �q l Z^ S [ 15- Date: ! a ' o_. I have read the requirement for speakers in the meeting of the Beaumont City Council and will adhere to and a i'de by t e equirements: ( • Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑�P lic Hearing OPublic Comments • 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: -4, 'd f DL Q " k Address: I l J 60%o- aio (_ City: ea/44'1204774—J 7TK Phone Number: 40 y'f& /-5f56 Date: qc I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abid y the requirements: • Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Pu • earing ublic Comments • 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. 'Ai 0 • 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. ' i---- -\--. Print Name: q� C-I:A. 1 4)1 5 eityl Address: D () G,U leg_ /2-1 City: P2,5,4.4.4 J,--,--) c4.---/-1-- / X Phone Number: Date: '' 3--2- ?„ I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the quirements: r Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work S ssion: ❑Pu ' Hearing ublic Comments 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 re d. Print Name: /1(A Address: rAgs City: iQ Phone Number: qii0q /- 2L97-‘ Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and a ide by t re uirements: Signature: i _n Please indicate yo r comment choice: ❑Consent Agenda ❑Poste• fern: please indicate item number ❑Wor, Session: ❑Pu lic Hearing blic Comments 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: I C/ � � l n n e l ( Address: D 5 5 00AbonAr City: 12 e-q&4 m 0 n T Phone Number: �] Date: 9 I ' 20 . I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the re i ments• Signature: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Public Hearing Public Comments • 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: ak2 h&r I vlGt t vtP.u)s Address: ,V c City: `v L'uc�vvc ✓L�- Phone Number: 14.00( 7(( Date: C ( 9-7 / lo 2_2- I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and ide by the requlements: Signature: ✓/ o Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Pu lic Hearing ublic Comments • 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.