HomeMy WebLinkAboutAUG 05, 2025 �
If you plaa to speak to Council regardiag aa item on tla¢ Conseut Ag¢uda or R¢gular Ageuda�or
during the public comment period of tlie meeting, please fill out this Form and hand it to the City
CI¢rk�wlao sits to tla¢ I¢ft of tLe poditim)b¢for¢you approacli the podium to sp¢ak_ Ttaauk you for
l�elpiug us with tl�¢corr¢ct sp¢lliug of our name aud addr¢ss for the of£acial r¢cord_
Print Name: f�"�7'e c+�Y✓1.�-�� �l�
Addr¢ss: �y����^ QSk�� �--j-o 0✓�7
City= J.J'�2 aVWva �- ���L ��'�O[p .
Plione Number: GLI O� J (D�j(p l 7�P�
Email Address: /��J�����Wva+1c►'a�h✓ � '�7 o-�'Vi']�Vl�. a p�'Y�
Datec . �-�'1'�'�'q� d, �- -
I have read the requ�remenfsfor speaXers in ihe meeting ojthe Beasisszont Cify Council axd will adhere
to a>ed abide by the requireme�zY
s�gnat.�re: �oe�-Q. r�a..Y•-�..b�-,`ya.�
Please iadicat¢your comm¢nt claoice=
OConsent Agenda: please indicat¢the it¢m numb¢r
�Regular Agendac pleas¢indicate item number
ODiscussion Item
O Public H¢aring
0 Pssblic Comments "
Falsely identifying yourself on this cnroLment form or orally at tho podium may constiYUYe a crime_ A person commits an
of£ousa ii he knowiug�y makes a falso ontry in a gov¢rnm¢ata� record. Penal Code Section 3710(a), Tamp¢ring with a
Govornmo�ta�Rocord.
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 spel 'n of your name and ress for the official record.
Print Name: � �
Address: � � �
City:
Phone Number: `
Email Address: �, l � �� i�'(u.
Date: � !�� �'/�
I have read the requirements fo peakers in the meeting of the Beaumont City Council and will adhere
to and abide by the require t :
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 Cumments
Falsely identifj�ing 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 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.
Print Name: � �
Address: ��`��,(( �"
c��: -�y1,-� T�C . ,
Phone Number:
Email Address: �y�fl[9„���� (�,�\/�,�����Ij�fi�v��l'��'(i(/� ,
I � �
Date: � �^ �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:
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 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.
� y�� � �
Print Name: / � � -�'
�� .'
Address: �� � .C�T e � G+�
City: �
�_ �a � �7
Phone Number: �
r.�
Email Address: �� �l � •� C�/�f
�
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: �� _��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 ar 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.
Print Name: �� � • � �� ���'�
Address: �� �!� 1.,��� ST
� .
c��: �� ( ,
Phone Number: ����, • �,�cj ' ���
Email Address: * � C� . (j�,,,�
Date: / � j� �
�' �°
I have read the requirements for speakers in the meeting of the Beausnont City Council and will adhere
to and abide by the require ts:
Signature:
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
ODiscussion Item T
❑��P blic Hearing
I7�'Public Comments
Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person commits an
offease if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering wit6 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 sp ing of your me and address for the official record.
Print Name: � �
Address: � ��S
c�ry: ��a-�mQ�n9
Phone Number: ����� ��� Q��
Email Address:
Date:
af
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: o�S�
Please indicate your comment choice:
❑Consent A nda: please indicate the item number
❑Regular enda: please indicate item number
❑Disc on Item T
❑ P lic 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.
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.
Print Name: � q V1 I� ` �q���
Address: ���S �Ot�.) �P h �O�
City: �UY✓lp►'��"' .
Phone Number: yd�I^�g'� ^) g�j �
EmailAddress: �qM��� � �q✓IiP) � qm°���,� Cd'�
Date: � �5--�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:
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 knowingiy makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a
Governmental Record.