10-24-16 Town Hall Speaker FormsSPEAKER FORMS FOR TOWN HALL MEETINGS
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 AN ELECTED OFFICIAL.
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TELEPHONE # I
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PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM # OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
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Please note that these meetings are electronically recorded and may be videotaped.
SPEAKER FORMS FOR TOWN HALL MEETINGS
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 AN ELE(; I'I D OFFICIAL.
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ADDRESS `'' ✓ �--,, _
TELEPHONE #
DATE
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM # OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
Please note that these meetings are electronically recorded and may be videotaped.
SPEAKER FORMS FOR TOWN HALL MEETINGS
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 AN ELECTED OFFICIAL.
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ADDRESS 3 v
TELEPHONE # 73s----5((-41 DATE / 0 / 5 (
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
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AGENDA ITEM # OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
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Please note that these meetings are electronically recorded and may be videotaped.
SPEAKER FORMS FOR TOWN HALL MEETINGS
CITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE%.1PLETE AND GIVE THIS FORM TO AN ELECTED OFFICIAL.
NAME a - 1,),--l �-4 6..- .r ESAt,, ! ,
ADDRESS a v L( 0 C._
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TELEPHONE # - a g to DATE
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PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM #
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OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
Please note that these meetings are electronically recorded and may be videotaped.