HomeMy WebLinkAboutMAY 05 2023 � �, �
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1 �
If you plan to speak to Council regarding an i#em on the Consent Agenda or Regular Agenda,or
• during the public comment period of fhe meeting, please fill out.this form and hand it to the City
Clerk(who sits to the left of the podium) before yon approach the podium�o speak.Thank you £or
helping us with the correct spelling ofyour name and address for the official record.
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Print Natne: 1 � '
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Address: -�� � ,' " ��. � . _ . ,
Cityc ��n�`,
� PhoneNumber' � `�� 4 � ,
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Email Address: � ' � (,� � �CJ�-�
Date: � ��
I have�ead the requirements for speak in the meeting of the Beaumont Gity Council and will adhere
to and abide by tlze Yequireme � .
Signature: -
Please indicate your comment c ice:
�Consent Agenda: please indicate the item number ,
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ ublic Hearing
ublic Comments af the end of the JVIeeting �
Fatsely identifying yourself on this enrollment form or oraIly at the podium may constitute a crime. A person commits an
offense if he knowingly makes a false entry in a governmental record. Perial Code Section.37.10(a), Tampering with a
f_'nvarnmonfal Rarnrfl .� '
� - �
If you plai� to speak to Council regarding an item 9n the Consent Agenda or Regular Agenda,or
• during tl�e public comment period of the m�eeting, 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 Eo speak.Thank you for
helping us with the corr.ect spel 'ng of your name and a ss for the of�icial record.
� Print Name; G'c lf t' �- _ ������ �
Adciress: �� � ����i--�`,�c� .
Citys �� � G?� �`s%r� /' /` .
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Phone Number: �°�—� . ��� ��� ?� �
�Email Address: � ��� ✓�� ���� ��
Date: ������ � �
I have read the requirements for speakers tn t�ie�reeeting of the Beaumont City Council and will adlzere
to and abide by tlze re�!uirements:
Signature: � �` �AI, - .
Please indicate your comment choice: ,
�Consent Agenda: please indicate the item number
❑Regular Agendat please indicate item number
❑Discussion Item
❑Public Hearing
`�Public Commenta at'the end of the Meeting
( �
Falsely identifying yourself on this enrollmen4 form or orally at the podium may constitute a crime. A person commits an
offense if he knowingty 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: �����-�-�-� � �-���
Addresse ��-`�� C�C���d �'� i�`�-
. cY�y: � � �� t,�.��� �� ��1`�l�� � . " .
Phone Number: ��`����-� — ��,� � . � �
Email Address• �'�.�� ��2 (C.p �1 C�c`-'�� ��► "`� � � e�1►�'�,� '„�
. ' .J
Date: � 1 Z r �,.�� -�
�� .
I have read the requirements for sp akers in the`rzeeting of tlie Beaumont City Council and will adhere
to aszd abide by the requireme�zts:
, .
Signature: ---�
PIease indieate your eomment choicec
❑Consent Agenda: please indicate the item number
ORegular A.genda: please indicate item number �
ODiscussion Item
❑�P�' lic Hearing
E1'Public Comments at the end of the Meeting
False(y 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 Conncil regarding an item on the Cansent 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
heIping us with t�e correct elling af you name and address for the official record.
� r �
�f,/�r
Print Namec r (/L'L'l�'', ' ���
' , G�� C���� _
Address: -
City: �l.�J1��� .
- � ,
Phone Number: (������f � /(1 vE%"��}
Emaf1 Address: '
� Date: � ��
1 have read the requirements�or speakers i�z t�ie meeting of the Beaumont City Councid and'wilZ adhere
to and abide by the requiYe entsr
Signature; �s'�''�� �
Please indicate your comment choices
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Di ussion Item
❑ ublic Hearing _
� Public Comments at the end of the 1VIeeting
Falsely identiifying yourself on this enrollmenf form or orally at the podium may constitute a crime. A person commits an
offense if he knowingly makes a false entry in a governmeutal record. Perial 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• ��$)�eA4) ���
Address: �°���i ���p �,. , ���;� °� . . .
c��: ������� .- , , .
Phone Number: ����,�� �"��" � ��� � �
Email Address: � - '
Date: '�.�'�.�"°�,� .
I have reacl the requirements.for speakers in the meeting of the Ber�asYnont City Council and will adlaere
to a�cd abide by the requiYe�nents:
Signafurei �.�)�J ��
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 witl� a
Governmental Record. ,