3-25-15 Speaker Form CITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK PRIOR TO
THE MEETING.
NAME 6f
ADDRESS g2 Lis`, T / 17 ,.17L1/v r/C ./
TELEPHONE# fr = S e,'7/ -7- 3 DATE /life 7,4 2 5 260
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
C C ,,.', `
AGENDA ITEM# OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)