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Home My WebLink AboutFEB 21 2023 CA 1A 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: .0 q,(4 rZ Address: 3 3 6 S- /3 It/9 I City: yrteyrf/r Phone Number: Ca) c6 -1l Email Address: C /�l.�'u, �ov `/..r jj oa I Date: 2 /— 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: C Please indicate your comment choice: ❑Consent Agenda: please indicate the item number Jr ❑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. .._,-it i 4 20 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 ,74 <Y 3 G (� .. Address: _L �!o1e�v�' Lli ,// 41 Z l City: 4211(.. T G'v) Phone Number: �S' 32 91 3v Email Address: V ) - L 01 Date: I have read the requirements for speakers in the in 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 Consent Agenda: please indicate item number ❑ iscussion 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 name and address for the official record. Print Name: bafk� 8u.3kY\.5 Address: 514D "Roalkaur City: l 11Y kk- Phone Number: 325 " 2, 33 3 Email Address: bk.Q Date: 2 /2 I J 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: ...-ZSignature: 11—) Please indicate your comment choice: ❑Consent Agenda: please indicate the item number Er Regular Agenda: please indicate item number ////5 ❑Discussion Item ❑Public Hearing E'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 name and address for the official record. Print Name: /49fini /jpwA) Address: 3 ;B s'ecteetPae st4 2V_ City: 1lj/i 0 fib 0 0,-CtAbLi Phone Number: 174g116'7 Email Address: aharb46 )'//l��l�(0(i mijofaef cp4t M cc"- Date:Date: ;2#J 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: • 0 Consent Agenda: please indicate the item number Lir% 'egular Agenda: please indicate item number 7 •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. 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: fA EL Le ®�v kS Address: 2(OSb L_6 ‘1-4alic VA. City: Ov2lY1/4 • Phone Number: co Email Address: 4 -LC-Di l yS Q S CA Date: I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requireme Signature: Please indicate your c r mment c o ce: ❑Consent Agenda: plea OndicaI the item number ❑Regular Agenda: please iirdicite item number ❑Discussion Item 0 yublic 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 spellin of your name and address for the official record. Print Name: Gia,a Address: 5�- D 5 Wax/0y 6 -Trct . City: brvt+- i 77?d.� Phone Number: Leo . l - vc Email Address: i--a C C 6. 17\1--. Date: - I Z,1 I X Z3 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 ❑Discussion Item ❑Pu ' Tearing 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: � ,� C� Address: cOSH,--1/LCA<De— City: _ tQa.u,tAkont- Phone Number: ( � -3(9 - lt! " `1 t GIG." Email Address: `fl'r c�, bvtik.,„3-cott-Ait Date: CO, ()r __c I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirement r Signature: 11107 Please indicate your comment 'ice: ❑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. ' 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. Print Name: `�{' �� Address: (16 ; (� City: ,41 Phone Number: Email Address: Date: do/ / " '`� I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the require its: Signature: Please indicate your comment choice: ❑ `''.s• Agenda: please indicate the item numbe fa''egular Agenda: please indicate item number ODiscussion Item 0 teic Hearing blic 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.