city of los angeles speaker cardclkrep.lacity.org/onlinedocs/2016/16-0526_sc_09-9-2016.pdf · 2016....

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CITY OF LOS ANGELES SPEAKER CARD NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITYS WEBSITE. , YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK," EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU Date THE CITY COUNCILS RULES OF DECORUM WILL BE ENFORCED. Council File No., Agenda Item, or Case No, ^ f(i> I wish to speak before the . Name: Name of City Agency,'DepartmehirG^mmittee , iblt^ comment, JW/ QS7^» :ee of Council Do you wish to provide general publidcomment, or to speak for or against a proposal on the agenda? ( ) For proposal , . ( ) Against proposal / ^ ( ) General comments Business or Organization Affiliation: Address:_____________________ T(7 / \ , Street City State Business phone: Representing: CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW: Client Name:___ ______________ _____________ ________________ ________________ Phone#: Client Address:____ __________________________ _________________________________________ Street City State Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.

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Page 1: CITY OF LOS ANGELES SPEAKER CARDclkrep.lacity.org/onlinedocs/2016/16-0526_sc_09-9-2016.pdf · 2016. 9. 9. · city of los angeles speaker card note: this is a public document subject

CITY OF LOS ANGELES SPEAKER CARDNOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE. ,

YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK," EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU

Date THE CITY COUNCIL’S RULES OF DECORUM WILL BE ENFORCED.

Council File No., Agenda Item, or Case No,

^ f(i>

I wish to speak before the .

Name:

Name of City Agency,'DepartmehirG^mmittee

, iblt^ comment,

JW/QS7^»:ee of Council

Do you wish to provide general publid’ comment, or to speak for or against a proposal on the agenda? ( ) For proposal, . ( ) Against proposal

/ ^ ( ) General comments

Business or Organization Affiliation:

Address:_____________________

T(7 / \ ,

Street City State

Business phone: Representing:

CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:

Client Name:___ ______________ _____________ ________________ ________________Phone#:

Client Address:____ __________________________ _________________________________________Street City State

Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.

Page 2: CITY OF LOS ANGELES SPEAKER CARDclkrep.lacity.org/onlinedocs/2016/16-0526_sc_09-9-2016.pdf · 2016. 9. 9. · city of los angeles speaker card note: this is a public document subject

CITY OF LOS ANGELES SPEAKER CARD O c

NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE. YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK,

EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU

THE CITY COUNCIL’S RULES OF DECORUM WILL BE ENFORCED.

)

Council File No., Agenda Item, or Case No.

I wish to speak before the

^

Name of City Agency, Department, Committee or Council

Do you wish to provide general public comment, or to speak for or against a proposal on the agenda? r"T For proposal'//if. _ „ ( ) Against proposal

Name:_______________I & f) [P W & $____________________________________ ( ) General comments

Business or Organization Affiliation:

Address:Street City State Zip

Business phone: ____________________ Representing:____________________________________

CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:

Client Name:________________________________________ ____________________________ Phone #:__________

Client Address: ____________________________________________________________________________________Street City State Zip

Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.