HomeMy WebLinkAboutMAY 16 2023 ��
� If you plan to speak to Couucil r¢gardiag an item oa the Cousent Agenda�or Regular Agead�,or
. � during tlae public comment p¢riod oF tlie m¢¢ting� pl¢as¢ fill out fliis form aaid haad it to th¢ City
Clerk (who sits to the left of tlie podium�b¢for¢you approach"the podium to spealc.Tlaank you for
- L¢Iping us with tl�e correct spelling of your name and address for tlie o.fficial record_ -
Priat Name: �l r ,�n . - .
'"T[�-
Addressc a.Ly�r � �- .
F� Cl�� � � . . .� �' " � � �
Phone Numb¢r: y V \ �\O� �\� I �� �
ei�' �t,.d �c �
�Email Address_ . -( � � .- �
D$te_ O�, ( (,�l��
,
I have r¢ad the requirementsfor speak¢rs sn the meeting of the Seazs»ton!City Cnuncil and will adhere
to a�sd abide by ihe re ui em tsr . � -
Signaturea � -
� Please indicate your com:ne t choiceo _ �� �
�Consent Ag¢udac pleas¢indicate the item number � �
�Regular Ag¢uda= pleas¢indicate item ussmber �
_ �Discussioa It¢m , - . � �
�ublic E3eariag � �
Public Commeats aYthe end oFtlie M¢eting
Falaely idontiY'ying yoursel{on tf�is enrollment form or oral�y at Yhe podium may co�stitute a crima_ A persoa commits an
oi£cvso if ha �cvowingly malc¢s a fa�so entry iv a govornmonta� record_ P¢na� Codc Section.37.10(a)� Tampering with a
Governmontal Rocord_ _ ' .
,PC �P . . .
� .
If you plan to speak to Council regarding an item qn 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 offieial record. �
Print Name: � .�_�`(/���_ ���f��'� . .
Address: v �S � r� � i/ 'e-- .
City: �'�%�/+GC- � lf,�}� . � . �
� Phone Number: ���. �/ � ���?`�' � � �
Email Address: �CJ��� �� ���� . �� : �
Date: � � � �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: . �
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number � �
. ODiscussion 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. �
a
I.f 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: �
Address: � 2�� � S� � uC�s ��
City: �`�5�.1����_���� �.� �� �
Phone Number: � L � —� / S` to � 'f�.
Email Address:
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
�Regular Agenda: please indicate item number
❑Discussion Item
. �P lic 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
offease if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a
Governmental Record.