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HomeMy WebLinkAboutJUN 13 2023 tip 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: / ,/C. ' DR-3 7 i f.fTvi City: Phone Number: Email Address: Date: 6/ 0! 3 I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirements; l Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ P c Hearing P,fublic 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) 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: .. 1 (\ ! i C . \ rV16 Ywc-W) J Address: \ ® S` ck- � City: AU (Art cj Phone Number: Email Address: kCVK Date: \\S I have read the requirements for sp ers ' the meeting of the Beaumont City Council and will adhere to and abide by the requir r : Signature: , , Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑public Hearing IS/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: r tJ ZT / A- _J24 Sb N Address: / Z T C) /S W L'E y City: 3 hi Phone Number: 61-09:.) f/ 7 Email Address: ab 111l a-v-'r t S b K @j a kt,o , Lio Date: �P 3 f tZ 4 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 ❑ Public Hearing 15-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, L 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 ypur name and address for the official record. Print Name: i�j_i, ��Wk• . 106 0)2625 Address: City: titi lY Jt Phone Number: ( to ) 4cTc:t) 1 Email Address: Date: 14,3J5 I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the require ts: Signature: Please indicate your comment choice: D9nsent Agenda: please indicate the item number q1 egular Agenda: please indicate item number6 ❑Discussion Item ❑ ublic 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.