CITY OF LOS ANGELES SPEAKER CARD PMS

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CITY OF LOS ANGELES SPEAKER CARD PMS NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITYS WEBSITE. YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK, EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU Date THE CITY COUNCIL S RULES OF Council File No., Agenda Item, or Case No. 5 - 3-/6 DECORUM WILL BE ENFORCED. * //) I wish to speak before the ft- Name of City Agency, DegcySmeaVCommittee or Council Do you wish to provide general publi Name: Business or Organization A' Address:________ ment, or to^peak for or against a proposalon the agenda? () For proposal / J ( ) Against proposal ^ ( ) General comments Street City State Business phone: Representing: CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW: Client Name:________________________________ _________ _________________________ Phone #: Client Address:_________________________________________________________________________ Street City State Please see reverse nf card for imnnrtant information and cnhmit thic ontiro narH to the nrociHinn nffi 1-or nr nhairnnronn

Transcript of CITY OF LOS ANGELES SPEAKER CARD PMS

Page 1: CITY OF LOS ANGELES SPEAKER CARD PMS

CITY OF LOS ANGELES SPEAKER CARD PMSNOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE.

YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK, EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU

Date THE CITY COUNCIL S RULES OF Council File No., Agenda Item, or Case No.

5 - 3-/6 DECORUM WILL BE ENFORCED. * //)I wish to speak before the ft-

Name of City Agency, DegcySmeaVCommittee or Council

Do you wish to provide general publi

Name:

Business or Organization A'

Address:________

ment, or to^peak for or against a proposal on the agenda? ( ) For proposal/ J ( ) Against proposal

^ ( ) General comments

Street City State

Business phone: Representing:

CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:

Client Name:________________________________ _________ _________________________ Phone #:

Client Address:_________________________________________________________________________Street City State

Please see reverse nf card for imnnrtant information and cnhmit thic ontiro narH to the nrociHinn nffi 1-or nr nhairnnronn

Page 2: CITY OF LOS ANGELES SPEAKER CARD PMS

PMSCITY OF LOS ANGELES SPEAKER CARD

NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE. YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK,

EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU

Dale THE CITY COUNCIL S RULES OF Council File No., Agenda Item, or Case No.

3.7-0 u,DECORUM WILL BE ENFORCED. ir&TM ) D

I wish to speak before the_______________/f h______________________Name of City Agency, Department, Committee or Council

Do you wish to provide general public comment, or to speak for or against a proposal on the agenda? ( ) For proposal<4l4"A9ainst proposal

Name: lAjHf/ W < > General comments

Business or Organization Affiliation: C-£ ^7^ V7TU- I dZfcCTVX \> / S 0

Address: Z'? 7- 9 C ^Street ity /

CJLCity / State

Business phone: 0° Representing: 1/J7 I\( uj

CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:

Client Name:_________ ______________________________________________________ __ Phone #:.

Client Address:___________________________________________________________________________Street City State Zip

PJ<=>siqp r£n/<=*rQO r\f rarH fnr imnnrfjant information anrl ci ihmit thlc ontiro narrl to tho nrociHinn nffinor nr chairnorcnn

Page 3: CITY OF LOS ANGELES SPEAKER CARD PMS

CITY OF LOS ANGELES SPEAKER CARD PM3NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE.

YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK, EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU

THE CITY COUNCIL’S RULES OF DECORUM WILL BE ENFORCED.

I wish to speak before theName of City Agency, Department, Committee or Council

Do you wish to provide general public comment, or to speak for or against a proposal on the agenda? ( ) For proposal| ( ) Against proposal

Name:___________________________________________________________________________ ( ) General comments

Business or Organization Affiliation:_______________________________________________________________________

Address:____________________________________________________________________________________________Street City State

Business phone: Representing:

CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:

Client Name:____________________________________________________________________ Phone #:

Client Address:______________________________ __________________________________________Street City State

Ploaco coo rouoroo r\f narrl fnr imnnrtant infnrmatinn and cnhmit thic ontirp rarri tn thp nrpcirlinn nffirpr nr rhairnprsnn