HomeMy WebLinkAboutJUNE 17 2025 If you plan to speak to Council r¢garding an item on th¢ Cons¢at Ageada or Regular Ageada,or
during tl�¢ public commeat p¢riod pf tlie me¢ting� please fill out this form and Land it to the City
Clerk(wl�o sits to the left of the podium) before yon approach tlie podium to speal�Tliauk you £or
h¢lping us with tlie correct spelliag of your aam¢aad address for tli¢offacial r¢cord_
Print Name_ ����- ��a Y J��
Address_ _�5 �S V�� � ��
c�n-= Q�/`^ l
Phone Numb¢rc �C�� � � V 2��� �f'
Email Address= —��� - -
Dat¢o li� �l� ` v� -
I h�rve read the requirementsfor speakers in the meeting o.f the Beaumont City Council and wilZ adhere
to and abide by the requirements:
Signature: ���--�✓ �--�—�
Please indicate your comment cLoice: �
OCons¢nt Ag¢ndaa please lIIdICBtC tli¢item nucnber
OR¢gular Ag¢nda= pl¢as¢indicat¢it¢m numb¢r
ODiscussion Item
O Public H¢aring
- �Public Comm¢nts �
Falsc�y identiiying yourso�f on this o�rollmcnt{orm or oralty at tl�c podium may constituYc a crimc_ A person commits an
ot7evse if!�¢ knowivgly makes a fs�se ¢vtry in s governm¢nta� record_ P¢na� Code S¢ction 37_lO�s). Tamperi�g with a
Governmorta�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 th fficial record.
C'� '� Ctn� ���
Print Name: ��r�
Address: ��� ��S� ����'�
City: � trs �� ts � 7
Phone Number: '� � � � ! f'�a�.����
Email Address: ��r� � � ! �� � '��✓�
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:
Si nature• `�
g •
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 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 v o �t � �l�j ,'"
Address: �pq�S Sa /,'� ���
c��: �3�, �
Phone Number: I u��, Z � �'3a'Z �
Email Address: F�o r��e��� �j'a� c G�
Date: `�l 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
. �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 �ity
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 an ddress for the official record.
�
Print Name: ) � � �—
Address: ���� .�9!1�
City: � _ �
Phone Number: v r(�7 d`� �� d J
. �
Email Address: YV� � � ` , �'O'�''��
Date: ��
I have read the requirements for speakers in t/ 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,ublic Hearing
Cd�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 elling of yo r name and address for the official record.
Print Name: ��
Address: �
City: �(i(,(i�'1�
Phone Number: (�_`-f" �9����
Email Address:
Date: �
I have read the requiremen for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the require nts:
Signature: �L�� �r�
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Re ular Agenda: please indicate item number
❑D' cussion Item T
❑ 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.