CITY OF LOS ANGELES SPEAKER CARD
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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
Date
THE CITY COUNCIL'S RULES OF
DECORUM WILL BE ENFORCED.
66/r2
1
Council File No.1 Agenda em, or Case No.
I wish to speak before the
Do you wish t
e
ovid
Name of City Agency, Department, Committee or Council
e
lic c
Name:
ment, or to speak for or against a proposal on the agenda?( ) or proposal
Against proposal
( ) neral comments
Business or Organization Affiliation:
Address:
City
Street
Business phone:
Zip
State
GVlS
Representing:
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Client Name: W c,
)
( Otit Y\
Phone #:
6
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U We
Client Address:
Street
City
Late
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.
CITY 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 Ta THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL
N
Date
Council Filel.,Agenda It-r Case No.
THE CITY COUNCIL'S RULES OF
WILL BE ENFORCED.
I wish to speak before the
Committee or Council
Name of City Agen1
,
, Department,
\
.
Do you wish to ivv
ideigene
public comme
r to s
k
r or a•
Name:
st a proposal on the agenda'? ( )For proposal
( ) Against proposal
( ) General comments
Business or Organization Affiliation:
Address:
Zip
State
City
Street
Representing:
Business phone:
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Client Name:
Client Address:
Street
L-F9
City
41
D
State
one
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson
CITY 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
Date
THE CITY COUNCIL'S RULES OF
DECORUM WILL BE ENFORCED.
oe6,
I wish to speak before the
Name of City Agency, Department, Committee or Council
Do you wish to prf,
- general public comment, or to speak for or against a proposal on the agenda?
Name:
For proposal
Against proposal
( ) eneral comments
Business or • •anization Affiliation:
Address:
Street
City
Zip
State
Representing:
Business phone:
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Phone #:
Client Name: 1
.
1;
.1-C (
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.