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CITY OF LOS ANGELES SPEAKER CARD \£r* NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITYS WEBSITE. oYOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK, n^ICEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU THE CITY COUNCILS RULES OF DECORUM WILL BE ENFORCED. Counci1 Fite No, Ai enriaTWujx'CSe No. I wish to speak before the . Do you vfish Name: Name of City Agency, Department, Committee or Council o pr^ide general public comment, or to speak for or against a proposal on the agenda?v( / For proposal U Ot / V A a n V V) Asainst proposal n-£y V \J | 0^1 ______ eral comments Business or Organization Affiliation: Address: Business phone: CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLf Client Name: Client Address: Street City State Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson

£r*clkrep.lacity.org/onlinedocs/2016/16-1237_sc_2-3-17.pdf · n^icept to the extent necessary for the presiding officer to call upon you the city council’s rules of decorum will

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CITY OF LOS ANGELES SPEAKER CARD \£r*

NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE. oYOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK, n^ICEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU

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

Counci1 Fite No, Ai enriaTWujx'CSe No.

I wish to speak before the .

Do you vfish

Name:

Name of City Agency, Department, Committee or Council

o pr^ide general public comment, or to speak for or against a proposal on the agenda?v( / For proposalU Ot / V A a n V V) Asainst proposaln-£y V \J | 0^1 ______ ’eral comments

Business or Organization Affiliation:

Address:

Business phone:

CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLf

Client Name:

Client Address:Street City State

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

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

Da,e *t> -7 In THE CITY COUNCIL’S RULES OF Council File No., Agenda Item, or Case No.

DECORUM WILL BE ENFORCED. 12.

I wish to speak before the.Name of City Agency, Department, Committee or Council

Do you wish to provide general public commentroMP speak for or against a proposal on the agenda? (_______ TV (Name:_______________________

Business or Organization Affiliation:

Address:___________________

JfV

Street City State

Business phone: Representing:

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

) For proposal ) Against proposal ) General comments

Zip

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

CITY OF LOS ANGELES SPEAKER CARD (j-r\

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

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

------------ ----------------------------------

I wish to speak before the qDepartment Committee

\Q A7C. (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? ( ) For proposal- r / ( ) Against proposal

Name: ___________________ ( A / C.\ ! Z) / S_/_L________________ ( ) General comments

Business or Organization Affiliation:_______________________________________ _______________________________

Address:Street

Business phone:

1 City

Representing:____

State

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

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.

/

I wish to speak before theName of City Agency, Department, Committee or Council

Do you wish to provide general public comn

Name:_________________

Business or Organization Affiliation: /

, or to speak^or^pr against a proposal on the agenda? ( ) For proposal( ) ^gainst proposal

eneral comments

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

CITY OF LOS ANGELES SPEAKER CARD

Date

•rf>ln THE CITY COUNCIL’S RULES OF DECORUM WILL BE ENFORCED.

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

I wish to speak before thyV/ / y~ l*/1*w \ Uame oTCity Agency, BepaniScnt, Committeeimittee or Council

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

Name: ( ) 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

CITY OF LOS ANGELES SPEAKER CARD

Date

11-M1 THE CITY COUNCIL'S RULES OFDECORUM WILL BE ENFORCED.

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

Q=-

I wish to speak before theName 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? ( ) For proposall/'T'\ . A ( ) Against proposal

Name: \J^V\\{\(^ ___________________________ _ ( ) General comments

Business or Organization Affiliation:_______________________________________________________________________

Address:______ _____________________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 Zip

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

CITY OF LOS ANGELES SPEAKER CARD

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

Council File No., Agenda Item, or Case No.A?___________________

I wish to speak before theName of City Agency, Department, Committee or Council

Do you wish to provide general public comnoent, or to s

Name:_______________________ ""7 S*

posal on the agenda? ( ) For proposal( ) Against proposal ( ) General comments

Business or Organization Affiliation:.

Address:_____________________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 Zip

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