10-15-16 Speaker Forms Town Hall MtgSPEAKER FORMS FOR TOWN HALL MEETINGS`1'
CITY OF ATLANTIC BEACH ,pg • / 7
IF YOU WISH TO ADDRESS THE CITY COMNIISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO AN ELECTED OFFICIAL.
NAME J. a-4� 1 ..
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ADDRESS I -7 6, �`--y"A- eI-`
TELEPHONE # 2 44 ` — GI 3 0
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DATE
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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 ELECTED OFFICIAL.
NAME/Z/5- 1?' 1" /
ADDRESS C\� ✓ 5��;
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
TELEPHONE #
DATE
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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NAME
ADDRESS
TELEPHONE # 3 DATE / / S ( 4: -
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM # OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
(61/--19/
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%,1MPLETE AND GIVE THIS FORM TO AN ELECIED OFFICIAL.
NAME a ' LLL - E P et -, 1,1-4--t (( -moi.
ADDRESS `I O C. " ! > c �:_ %i - I
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.