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.
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I wish to speak before the
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general public comment, or to speak for or against a proposal on the agenda?(For proposal
( ) Against proposal
General comments
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Do you wish to provi
Name:
Council File No., Agenda Item, or Case No.
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Business or Organization Affiliation:
Address:
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City
Zip
State
Representing:
Business phone:
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Phone #:
Client Name:
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.
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
Ayr /
I wish to speak before the
THE CITY COUNCIL'S RULES OF
DECORUM WILL BE ENFORCED.
Council File No., Agenda Item, or Case No.
9
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Name of City Agency, Department, Committee or Council
Do you wish to
Name:
vide g n • ral public comment, or to speak for or against a proposal on the agenda? (f-fKr proposal
( ) Against proposal
( ) General comments
Business or Or anization Affiliation:
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City
Address:
Street
Business phone: 3/0
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State
Representing:
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Phone #:
Client Name:
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.
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,
XCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPO
OU
a
Date
THE CITY COUNCIL'S RULES OF
DECORUM WILL BE ENFORCED.
I wish to speak before tl e
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Name of City Agency, Department, Committee or Council
Do you wish to provid
liKokKIntsTak for or against a proposal on the agenda.
Name:
) or proposal
gainst proposal
( ) General comments
Business or Organization Affiliation:
Address:
Street
Business phone:
CHECK HERE I
City
State
Zip
Representing:
U A EA PAID SPEAKER AND PROVIDE CLIEN
INFORMATION BELOW:
Client Name:
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.
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
THE CITY COUNCIL'S RULES OF
DECORUM WILL BE ENFORCED.
Council File No., Agenda Item, or Case No.
VV
I wish to speak before the
Name of City Agency, Departmen Committee or Pouncil
Do you wish to provide general public comment, or to speak for or
Name:
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ainst - • oposal on the agenda?( )For proposal
cost proposal
) General comments
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Business or Organization Affili
:
Address:
City
Street
Business phone:
State
Zip
Representing:
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Phone #:
Client Name:
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.