Loading...
HomeMy WebLinkAboutDEC 2 2025 0 if you plan Yo speak to Council regarding an item ou tlae Consent Ageada or Regular Ag¢uda,or during the public comment p¢riod af the meeting, please fill out this £orm and hand it to the City Clerk (wtio sits to the 1¢ft of tlie podium) before you approacl�the podium to sp¢ak_Tlaank you£or lielpiug us witL the corr¢ct sp¢lling of your name and address£or the oi5cial record_ Priut Name: 7C���,�_ `� Addr¢ss_ 3�j�s �i� L�,I,CiRS 1�,lr2�1� Cit3'c ��la Yv\�lA S�F��G 7�-2 d� PlioueNumber: � ��- 3�-( ,-TjL (oC/�-y� Email Address: /�� � �'9- - Datec L�o. "�- " �-S Ilz¢ve retad Zhe requirementsfor speakers in the meetsng of tlze Beaumont Csfy CounciZ and wilZ¢dhere to a>zd¢bide by tlze requiremenis: Siguature_ �, �_ � �`i��\ Pl¢as¢indicat¢your comment choice: OConsent Ageadac please indicate tla¢item numb¢r �Regular Agenda- please iudicate item number D�ISC115510II=YOIII �-LPublic g08fl�g LVYl1I1IIC COIIlIIIQIItS FaLsaly identifying yours¢IF on t6is enrolim¢nt form or orally at tl�e podium may constitute a crime_ A person commits an of£cnse if 6e Irnowingly malces a false entry in a gov¢rnmenta� r¢cord_ P¢nal Code Section 37_10(a), Tampering with a � Gov¢rnm¢ntal R¢cord_ 0 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: /�'� e�1��C�-�, Address: COU/I��y .l�lJ G(�/ �S ��`�� City: Phone Number: ��' ��r" ��� Email Address: �� �j'��� QE�E�� �'�'�� Date: . ��Z'/�- . Ilxave read tlze requirements for speakers in the meeting of t1:e Beaumont City Council and will adhere to and abide by tlze requirements: Signature: Please indicate your comment choice: ❑Consent Agenda: please indicate the item number �� YO��� ❑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 l�owingly 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 Sll 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: � f ���� Address: G- `b+r �� • City: � Phone Number: ���� '�� l Email Address: � G.l y ''�~ Date: � / � I have read tl:e requirements for speakers in the meeting of the Beaumont City Council and will adhere to and abide by tlze requirements: Signature: � Please indicate your co ce: �❑C nsent Agenda: please indicate the item number gular Agenda: please indicate item number� � ODiscussion Item ❑Public Hearing ❑Public Comments Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A persan commits an offense if he I�owingly 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 s el 'ng of your name d ad ress for the official record. Print Name: �{� /:/ �Address: l� ;� c�ry: �q<� ✓124�'` Phone Number: �v G �� ( ✓��/ / �v p � Jj . O t'� Email Address: J(,l/'� t l.�,�Cl �" � C��i G . Date: ��C- � � �� Ilzave read tl:e requiremenis for speakers in the meeting of the Beaumont City Council and will adhere to and abide by the requiremenis: 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 lrnowingly 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: �� Address: �/�'� ' I �� Ci�: I�C'Glu�fri�j 1 JG Phone Number: ��J 7g�-$�� EmailAddress: ��'"'�-'�� ��yQ�'�D• �� . Date: 1 Z' v � . Iliave read t1:e requirements for speakers 'n the 'ng of tlze Beaumont City Council and will adhere to and abide by tlze requirem s: Signature: Please indicate your comment choice: �Consent Agenda: please indicate the item number ❑Regular Agenda: please indicate item number ❑Discussion Item T �Py�slic 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 Irnowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a Governmental Record.