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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

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

>fjTHE CITY COUNCIL’S RULES OF DECORUM WILL BE ENFORCED.

Name of City Agency, Department, CommitteiI wish to speak before the

Committee or Council

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

O ( ) General commentsName:

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Address:

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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

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

I wish to speak before the.

Do you wish to provide generalpublic comment, or to .speak for oh against

Name:

Name of City Agency, Department, Committee or Council

jposal on the agenda? ( ) For proposal' ( ) Against proposal

General comments

Business or Organization Affiliation:

Address:

Business phone: Representing:

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

Client Name:________________________________________________________________________ Phone#:

Client Address:

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