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CITY OF lOS ANGELES SPEAKER CARD
I Date
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I wish to speak before the
THE CITY COUNCIL'S RULES OF
DECORUM WILL BE ENFORCED.
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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?
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Name:
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Address:
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City
State
Zip
Business phone:
CHECK
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( ) General comments
________
Representing:
HERE IF YOU ARE A PAID SPEAKER
Client Address: _----;:;:;:-:-::;-Street
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AND PROVIDE CLIENT
INFORMATION
----:=City
BELOW:
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State
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-;;;;;::-
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.
NOTE: THIS IS A PUBLIC DOCUMENT.
_
CITY OF LOS ANGELES SPEAKER CARD
I 2/'6/12Date
THE CITY COUNCII:S
DECORUM WilL
RULES OF
Council File No., Agenda Item, or Case No.
BE ENFORCED.
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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?
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Name:
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Business or Organization Affiliation:
Address:
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Representing: ~~~~~~~~~~~~~~~~~~~
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HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
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Phone #:
Client Name:~~
Client Address:
) For proposal
Against proposal
) General comments
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Street
Business phone:
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Street
City
State
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.
NOTE: THIS IS A PUBLIC DOCUMENT.
_
CITY OF LOS ANGELES SPEAKER CARD
I Date
THE CITY COUNCIl'S
DECORUM Will
I wish to speak before the
Council File Nz:.nda
RULES OF
lIem, or Case No.
BE ENFORCED.
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Name of City Agency, Department, Committee or Council
Do you wish to provide general public comm
Name:
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t, or to speak for or against a proposal on the agenda?
) For proposal
(
) General comments
Against proposal
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~~~§orO~M~don~~~:
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Address:
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Business phone:
________
CHECK
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Street
City
_
State
Zip
Representing:
HERE IF YOU ARE A PAID SPEAKER
_
AND PROVIDE CLIENT
INFORMATION
BELOW:
Client Name:
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Phone #:
Client Address: _---;;;;:::-:-:-;--
---:;:::;-:-
Street
City
------;::;-;-
--::;:-
State
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.
NOTE:
THIS IS A PUBLIC
DOCUMENT.
_
_
CITY OF lOS ANGELES SPEAKER CARD
THE CITY COUNCIL:S RULES OF
DECORUM wiu.aa ENFORCED.
I wish to speak before the __
.
Je-n.
Council File No., Agenda lIem, Dr Case No.
~:...1~~~~..t-1:C!:0L.!...~~~~:::....!.-::..L~:::Ll.'-I-~~=
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Do you wish to provide general public comment, or to speak for or against a proposal on the agenda?
Name:
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ey
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} For proposal
M Against proposal
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General comments
Businessor~rganiz~ionAffi"~ion:
Address:
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Street
Business phone:
________
City
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State
Representing:
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CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
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Phone #:
Client Name:
Client Address: _---;;:-:--...,-Street
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Zip
=-:-
City
--:::-:-:-
Stale
-=:-
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.
NOTE: THIS IS A PUBLIC DOCUMENT.
_
_
CITY OF lOS ANGELES SPEAKER CARD
I Date
~~~')'
~
I
THE CITY COUNCIl'S
RULES.. OF
DECOR.. UM WILL BE ENFORC. ED.
I wish to speak before the
~{)R1Jf11lA
r
Council File No., Agenda Item, or case.N..o,
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arne of City Agency, Department, Committee 'Or Council
a proposal on the agenda?
Business phone:
________
( ) Fo
posal
(
gainst proposal
) General comments
Representing:
_
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATiON BELOW:
Client Name:
Phone
Client Address: _--;:;;-:-:-:-;-Street
----:;:;::;-;:-
--;;.-;-:-;-:--
City
State
D
#:
~-----Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.
NOTE:
THiS IS A PUBLIC
DOCUMENT.
_