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Home My WebLink AboutAPR 1, 2025 � If you plan to sp¢ak to Council regarding an it¢m on the Consent Ag¢uda or R¢gular Agenda�or duriag tlae public comment period of the m¢¢ting, please fill out this form aud 6and it to tlie City Clerk(wlio sits to th¢1¢ft of ttae podium)before you approact,the podium to spealt Thank you for lielpiug us with the corr¢ct spelliug of your uam¢and addr¢ss for tli¢official r¢cord_ Print Name_ ��(`�3 yY�.�_ 9-Y�eXi�YY.11`JQ Address= � �� O �V�}'l(J� �� .t,.: ✓�1"�"I T 7>C �`7 2�f Phoae Numb¢r= ��`� [G�� —�6` }� Email Addr¢ssc - Date= �-/�//�� , I h¢ve retid the requirementsfor speakers in fhe meefing of the Beaumont City Council and wiZl¢dhere to and obide by the requirem ntsv . / �// �/� Signature= � �V Z�Q ��CS�rc.��E�iA'�Q/I i � / Pl¢ase indicat¢your comzn¢nt choic¢= OCoasent Ageada: please indicat¢the item rtumb¢r OR¢gular Agenda- please iadicste item au:nb¢r ODiscussion It¢m �Public I3earing .�Public Comm¢uts � Fa�sely id¢ntifying yours¢If on this enrol�ment£orm or ora��y at the podium may constitute a crim¢. A person commits an of1'onso it'ho Knowingly ma�ces a fa�so ontry in a govcrnmental record. Penal Code S¢ction 37.10(a), Tamperi�g with a Governm¢ntal 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 official record. Print Name: � L��n � �� Q � t b � Address: ��1- �-f d �' S 1�' L�y c�Ty: � �rt - T�C Phone Number: �� F� l � 7 G Email Address: Date: �l � � Z s � I have read the requirements for speakers in the meeting of lhe Beaumont City Council and will adhere to and abide by the requirements: Signature: C��/`�"-� � � Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item T ❑Public Hearing �blic 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 official record. � � Print Name: � S � ^ S fl n^ ' � Address: � � � 5 �Cx�� '� City: � v/," � ��1--�7 "� � Phone Number: 0 I Z Z s �� s� Email Address: � S T �l C� t�L C r S �^�c Date: "1 � � Z S I have read the requirements or sp �rers in the meeting of�he Beaumont City Council and will adhere to and abide by the require ents: ' ,- -----� Signature: �� Please indicate your comme oice: ❑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 official record. Print Name: _;f ZJ�- Q/1 YL L�� Address: �� p � � �• City: ��`'�1��(�� Phone Number: ��-'� b �� Email Address: i Date: '��"�"� I have read the requirements for speakers in e eeting of the Beaumont City Council and will adhere to and abide by the requir ents: Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑�P�blic Hearing 9'Public Comments Falsely identifying yourself on this enrol)ment 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 pf 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. � � � J �� / Print Name: �Gt.I��IZ �T u v Address: � � City: Y�{/1,�t h/L Al� , Phone Number: Email Address: Date: '� � � � 2 S 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: ��J[�- Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item T ❑�ublic 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 s lling of your name d ddress for the official record. 1 V � W � Print Name: � � Address: L.- ��D L � � _�Y �� Q � � city: � Phone Number: � 2�J� J � � �uc Cr J � !� � � 1 �- � � Email Address: � � �I �� 'V • Date: C �v � � - I have read the requirements for s eakers in the meeting of the Beaumont City Council and will adhere to and abide by the requirem ts: �- Signature: � Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑ ublic 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 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 R y �P u ��1/)-- Address: J�l� 6 ��e�ti�-,d� 2 � r� c�ty: �`�r� � , _ Phone Number: �0 I r� /� � � ( !L— Email Address: I v // a2��j'��O �=„ �/� ��i C, G'�if 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 ❑Discussion Item T ❑Public Aearing . �-u'�nlic Comments Falsely identifying yourself on this enroilment 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(n), Tampering with a Governmental Record.