10-25-23 Speaker FormsSPEAKER REQUEST FORM
IF YOU WISH TO ADDRESS THE CHARTER REVIEW COMMITTEE ' ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE MEETING.
10(2-51-2 3
Date: Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address: -Z 3 0 ) E r 6 )�c,eas L of City: ov-, 3
Phone No. 9 (W G 3/- 6 o G S" Email: c40,�Ic,
Subject to be addressed:
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SPEAKER REQUEST FORM
IF YOU WISH TO ADDRESS THE CHARTER REVIEW COMMITTEE ' ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE MEETING.
Date:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL: l F
Address: PCL f�U� City: �IGm �C� -C G� Ch f (e' ?233
Phone No.9 0 y -2qb 46W Email:J.SSeGr � der 'm))Ja com
Subject o be addressed