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Home My WebLink AboutJUNE 3 2025�� If you plan to speak to Couucil regarding au it¢in on th¢ Consent Agenda or R¢gular Agenda�or duriug t6¢ public commeat p¢riod of the m¢etiug� please fill out this form and liaud it to tL¢ City Cl¢rlc�who sits to the left of tlie podium) before you approach the podium to sp¢al�Thanlc you For h¢lpiag us witL tli¢correct spelliug of your uam¢and address for tLe offcial record_ Print Nam¢o ��_d �/� / �� /�'cx �p �I � Addr¢ss= � � �� -��'C�Zc l�i-- City= � � � 1 "/ Plion¢Number= CC'i�cc6� CJ� � �Z,G�r.��- �c� Email Address= Y—�S -�/� X � C��T' Date: �/�� I have read the requir¢ments for speakers in the meeting of the Beaumont Csty Council and will adhere to and abide by the re uiremesnts: Signature: ��! ��fTiS� i " Please indicate your comm¢nt cLoice: OCons¢nt Ag¢nda: pleas¢indicate the item numb¢r �R¢gular Agenda: please indicate it¢m numb¢r ODiscussioa Item � �ublic H¢aring Public Com=aeuts False�y identiFyi�g yourse�f on tl�is enro�Iment form or orally at tt�o podium may co�stitute s crime_ A person commits an off'cvs¢ if he knowing�y maKes a Fa�so ontry irt a governm¢nta� record. Pena� Codo Soctio� 37.10(aj. Tamperi�g with a Governme�fal 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: �� G�� Address: �`Z�� `'� � City: �P��(� Phone Number: � t � Email Address: �. � ��, �� Date: � �i` __��r 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 ❑$� ylar Agenda: please indicate item number �Tiscussion 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 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 a dress for the official record. Print Name: ��/�/ �vC �Y Address: � � �V � �� v � c;�: �� , )� �� z Phone Number: � � � � �J� �� . � q c� f � � Email Address: C �_ , 2 ` � \ ` Date: � ��.1 � � ✓ I have read the requirements for s kers in the meeting of the Beaumont City Council and will adhere to and abide by the requirement . Signature: � r 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 enrotlment 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: T� ��1�/r' Address: c�ty: � � Phone Number: ,�U"J� ��___I�sz`�2� Email Address: !/L�U �� Date: � I have read the requireme ts for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requir ments: Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑Public Hearing . 1$�Public Comments Falsely identifying yourself on this enroliment 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 spellin of your name and address for the official record. � �'�� ,� �, Print Name: � � Address: �h r��d►��1 �� City: �P �Fl t n.,. � l^. t� Phone Number: �6 � '--��b `- / �(L�U Email Address: �S' ,��(/1�� A� l l��C�lm�L�j 1�,f� d V , ��"1 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: 6 Signature: ��/�E:�-/�'�' Please indicate your comment choice: OConsent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ODiscussion Item D,�ublic Hearing �f 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: q t'e � �D I 5� T Address: �� 1,,�l F'Y\ � c�Ty: ,, eavrho��' , _ Phone Number: -1.C�� g) �� Email Address: �YV�Q i Se � �n e I C c�r�a►'�+C 4�'�l �— Date: � G�o' 0�� a� 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 . „�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: \�e ��'�\�-�4 Z\ C.-��1�j Address: �15 ��.R-k`r\� y� �� city: �'e G � �� 71 '� O S Phone Number: C��5) Zd D � �o�b '� Email Address: 1 ��, � �`�� L• C°'� Date: l� �"� � I have read the requirements f r speakers in the meeting of th nt City Council and ' adhere to and abide by the requirem n s: Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item ❑Public Hearing . [�,�Qblic 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 sp ling f your name and address for the official record. Print Name: � � � Address: � City: � Phone Number: �� Email Address: Date: � �� I have read the requirements for speakers in the meeting of the B,eaumont 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 ❑ P ic Hearing 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.