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Home My WebLink AboutDEC 17 2024 � If you plan to speak to Coui►cil reg$rdiug an it¢m on tL¢ Conseut Ageuda or Regular Ag¢uda�or duriag the public com=nent period qf tli¢ meetiag� pl¢ase fill out tliis form and hand it to the City Clerk�who sits to tlie le£t of the podium)before you approach the podium to speak_Tliank you £or helpiug us witL the corr¢ct sp¢Iling of your nam¢and addr¢ss£or the of£cial record_ Print Name= ��!'O n) e �[Q.��}Q�i�G� Address= � �� Y/��n �l�� c.t,-= /��j � —�sc T Ptaone Number: `� / ��l — p 75�% Email Address: � - - Date: �0��!'�C � - I have read fhe requirements for speakers in the meelireg of the Beaumont Cily Cou�scil and will adhere to�and absde by the r¢quirLe�ts ��?�7�0 l Si nature: ii/yi � Please indicate your co�nt choice= OCous¢nt Agenda: plesse iadicat¢th¢item numb¢r OR¢gular Agenda= pl¢ase iadicate item numb¢r ODiscussion Item O Public Hearing 17 V--�-"c Comm¢nts - Fa�s¢�y id¢ntiFying yourse�ton this onrol�ment form or ora�ly at thc podium may constitute a crime_ A person commits an offens¢ i£h¢ knowingly malc¢s a fals¢ entry i� a governm¢ntal record. Pena� Cod¢ Section 37.10(aj, Tampering with a Governmenta�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 fo�the official record. Print Name: � �i�j �'12.� �'�� S� � Address: � Z�' � �S� L �� c��y: � � ! Phone Number: �� 6 y, � � � ' ��5�-� G\. C�'f'�� 7 a Email Address: a� k�� S a ti� �O U a�►.b[9 ��M'"' Date: [`2 � � 7 � Z�' 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 T ❑ Public Hearing G�jiblic Comments 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 qf 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: � �/f �//� l,�Yfi � � -e �� 5��`� Address: � C�-�. � c�Ty: !� , � Phone Number: �- Q -�j � C1��`�� Email Address: �' � li-i � ��/ � �� . C,�� Date: �o� ��, I have read the requirements for speakers in the meeting of the Beaumont City Council and wilt 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 T ❑ Public Hearing �Public Comments 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 pr 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 AR J�.�`�-� S��l, Address: � � � 5 �..,k-�k�n S � City: ��Lt.m n�.� Phone Number: �'{ � q g 9 2: -'1 '3 �s� `� Email Address: Date: �@.C,, i '� , vZ b oZ.� 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�'��s^^� Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item T ❑Public Hearing �0�ublic Comments 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 na e and address for the official record. Print Name: I� � Address: J Is� � G� City: ��a� Phone Number: �`K�� S y$1 Email Address: .� •�f�� •�'4�. Date: 1 L I�— 24-- I have read the requirements for speakers i eting of the Beaumont City Council and will adhere to and abide by the require nt Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item T ❑ Public Hearing ❑Public Comments 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 qf 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 of�cial record. �� Print Name: �. r ✓�h YLv �/S -SY . Address: �P`1' � S �G.I�'�s ��, c�Ty: ��- , . Phone Number: �(�-� 2�''v y � �� Z-�/ Email Address: �/►2( h J c < cr C �to I,ceK 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: �l^ � Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item T ❑Public Hearing ,�'P'ublic Comments 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 am item on the Consent Agenda or Regular Agenda,or during the public comment period qf the meeting, please fill out this form and hand it to the Ciiy Clerk(who sits to the left of the podium)before you approach the podium to speak Thank you for helping us with the c rrect spelling of your name and add ess for the official record. Print Name: e� � � e� Address: W Q r U � City: � Phone Number: Email Address: Date: � 2 "' f �'� Z "�']F- -7-- I have read the requirements fo speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requiremen : Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item T ❑ Public Hearing �rbdtc�Comments 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.