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HomeMy WebLinkAboutFEB 14 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: c• /lari:Scr, Lute Address: e6( 5 G .017 5 �e , City: 5e— Phone Number: 9 a 3 - 7 3.( - 3 65V n Email Address: A�r�-5��I l`e cJ .-.c.- c�•+. Date: Z / q /z©23 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 ❑Regular Agenda: please indicate item number O 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. pt_(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: (2 -j/) C(GF^. Address: (5 Z CF)/ s1).?Ac2L1T City: *-- ` Phone Number: 2� i rr Email Address: /� IC € 1�1 1i'e C/n/l/\ Date: l' Z t f`f I have read the requirements for s e ers in he meeting of the Beaumont City Council and will adhere to and abide by the re i s: Signature: Please indicate your comment oice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑Public Hearing RPublic 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. Pc 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 corre t spelling of your n me and address for the official record. Print Name: r�-►f4►`k. PW'7�� . Address: ��� ift-ab& (.i rzek City: Phone Number: 0 lF7- -24 g Email Address: Yl -3)61 g 5b611,)) c Date: -2' ( -1 I have read the requirements or speakers in the meeting of the Beaumont City Council and will adhere to and abide by the require nts: Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑Public Hearing ublic 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 name and address for the official record. Print Name: Cam CC // / i Address: i v-- City: e Phone Number: 46.:)F> 7 � � Email Address: C a/�� 0/ 0, CS�i� / • Date: I have read the requirements for speakers in tile meeting of the Beaumont City Council and will adhere to and abide by the requirements: Signature: (JG Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number O Discussion Item C IlitiSRag 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. Pc 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: ;G�V��2. E 'cur 15 Address: 1"Z-(�� Lo vN. n . City: `7 2," w ,,._. b Phone Number: « 1 D 7 ,15 Email Address: t h kL yG kvp . • • Date: Z` ` - 2--c) a. 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 ❑Regular Agenda: please indicate item number 1iscussion 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. CN A PC ClID 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 s lling of our me and address for the official record. i Print Name: wilt Address: P69c 6":-Ac C747_741 City: Phone Number: 49) VC0/- l Email Address: ,,r Date: 1 I have read the require ants for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirem /its: A Signature: ka. P ase indicate your comment choice: Consent Agenda: please indicate the item number Regular Agenda: please indicate item number ❑Discussion Item ❑P�f,'nlic Hearing ` �I'ublic 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 name and address for the official record. Print Name: G/6rA) (r tom?✓ /' y �7.c� /T/ �r.�-C Address: ?r J wr-,4 , City: Phone Number: 607) 7)...4_5)253tif Email Address: Date: >� lf I have read the requirements for speakers in the eting 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 ❑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.