01-14-19 Workshop Speaker CardsCITY 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.
NAME DATE
ADDRESS
TELEPHONE # + ',-1—
COMMENTS:
COMMENTS: 01
For Office Use: Assigned to:
lvv'lll�� CITY OF ATLANTIC BEACH C/
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.
DATE.
ATE
ADDRESS
TELEPHONE #
COMMENTS:
For Office Use: Assigned to:
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.
NAME DATE
ADDRESS :7)
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TELEPHONE # (?0 'lto3 -
For Office Use: Assigned to: