HomeMy WebLinkAboutJAN 10 2023 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: „z -/- Arii-c
Address: ii-d 11L6 '/0 .0 i
City: 1r .6 5.
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Phone Number: .S'v/2i-194 /JCS
Email Address: 606 a 12-6'& P ) cia/e6elicA eg r , /1
Date: /"' /d, e..?-'
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: /`� : dti:/
Please indicate your comment choice:
❑ onsent Agenda: please indicate the item number
■ 'egular Agenda: please indicate item number .
.f-scussion Item — D/Fto L dA-avo e ! j,4<tj v,e3
,n ' •
'■ ublic Hearing -�'
( ublic Comments at the end of the Meeting
sely 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) b for you approach the podium to speak.Thank you for
helping us with the correct (, v , `
'_ ,__tii'[g of your a e and ddress for the official record.
Print Name:
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Address:
City: 1`'
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Phone Number: A� `0
Email Address: ffilie
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Date: P
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I have read the requirements for s ea •ers in e'etin! o the eaumont City Council and will adhere
to and abide by the requirement
Signature:
r 1`1
Please indicate.your comment choice:
OConsent Agenda: please indicate the item number !
❑Regular Agenda`:•please,in'dicate 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.
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 me and address for the official record.
Print Name: in < O q V
Address: { cl
City: 2C c 1,1n, 3 '
Phone Number: L D 6 C. 3 -`-'0
Email Address: L
Date: /0C/cD-..
I have read the.requir eats for s akers in the eting f'the Beaumont City Council and will adhere
to and abide by the req 'r ents:
Signature: \\\
Please indicate your comment choice:
DConsent Agenda:please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑Public ring
u lic 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
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 pelling of your name and address for the official record.
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Print Name:
Address: I [2-C t
City: `
Phone Number: S 3 7 so
L `2_1
Email Address: `, On
t/' VeLtee-
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:
❑Consent Agenda: please indicate the item number
DRegular Agenda: please indicate item number V
❑Discussion Item =
❑Public Hearing
Cublic 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
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: 1 %A V
Address: S 1 V CO.
City:
Phone Number: — Z l r �"`Z
Email Address: l ..l l .kt.. 3e..1 \CO CAC
Date: 1 0Z--
1
I have read the requirements for speakers in he meeting of th eaumont City Council and will adhere
to and abide by the requirements:
Signature:
Please indicate your comment choice:
taConsent Agenda: please indicate the item number 5s
!❑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.
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 y'ur name and address for the official record.
Print Name: 24:1I` (e_ 1
' -
Address: L
City: i0 hi`
Phone Number:
Email Address:
Date: 10 125
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requir ents:
Signature: y. /it i ! 1120 1 0
Please indicate your comment choice
DConsent Agenda: please indicate the item number
l Regular Agenda: please indicate item number I .
[]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 3710(a), Tampering with a
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 elling of your name and address for the official record.
Print Name: ( t 1
Address: / (• 3 ( 0,-\7
City: /(3 -1/7/7
Phone Number: 6 2 G 7--
Email Address: /
Date: / /a i 2 3
I have read the requirements f speakers in meeting of the Beaumont City Council and will adhere
to and abide by the requirem ts:
Signature:
Please indicate your comment choice:
El Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑Public Hearing
1A-Public Comments atthe 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.