6-14-17 Speaker Form CITY OF ATLANTIC BEACH
Speaker Form
IF YOU ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK BY THE END
OF THE MEETING.
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NAME S \_)S voivpR ('�� `�(� DATE (0--)
ADDRESS c,--4---
TELEPHONE
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COMMENTS:
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For Office Use: Assigned to: