HomeMy WebLinkAboutMAR 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:
Address: I - 1siiG
City: A -A
Phone Number: 01 -Eo
Email Address: r a Nn„, e zart Yl 1n\2- .:n E
Date: / l
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requirement •
Signature:
Please indicate your comment choice: S
O Consent Agenda: please indicate the item number
DRegular Agenda: please indicate item number
❑Discussion Item .
❑Public Hearing
`91 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: / c.1 a
Address: � �/5� �'1`✓2.
City: r77 0 n 14
• Phone Number: / 9 �✓
4.
Email Address: - '4 '/ ' c
Date: J � a3
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requirem nts:
Signature:
Please indicate your comment choice:
El 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.
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: (-)�iLtl Q� 0Q-
Address: � --`C- e f LftL,0 S`
City. .j
Phone Number: Ogq ---3e - Q 6
Email Address: `fset^ a 64-.0,-,b(2.4 ttn„ T .0 5 1c-t,4f CQlx1, '
Date: 2 ` ((I ` 20 p 3
I have read the requirements for s.a&kers in the meeting oft Beaumont City Council and will adhere
ipto and abide by the requirement
Signature: 1
Please indicate your comment c.oice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item • .
❑ ?ublic 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 corr4e /
elling of y r name and address for the official record.
Print Name: Lv
Address: % '''/ -s
City: K
Phone Number: do
Email Address:
Date: ,//
/o
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: /G
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discus 'i r Item
❑ P_ • is 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.