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Depilrrnlent of <br />r-ilcervenue <br />Levy Certification NOV 3 � 2015 <br />Submit this document to the county legislative authority on or before November 30'6f the year preceding <br />the year in which the levy amounts are to be collected and forward a copy to the assessor. <br />In accordance with RCW 84.52.020, I, Diane Ewing, <br />(Name) <br />District Secretary , for Kittitas County Fire District #7 , do hereby certify to <br />(Title) (District Name) <br />the Kittitas <br />(Name of County) <br />County legislative authority that the Fire Commissioners <br />of said district requests that the following levy amounts be collected in <br />budget, which was adopted following a public hearing held on <br />Regular Levy: <br />Excess Levy: <br />Refund Levy: <br />$1,348,271.50 <br />(State the total dollar amount to be levied) <br />(State the total dollar amount to be levied) <br />$17,372.89 <br />(State the total dollar amount to be levied) <br />Signature:ir <br />(Commissioners, Council, Board, etc.) <br />2016 as provided in the district's <br />(Year of Collection) <br />11/24/15 <br />(Date of Public Hearing) <br />Date: 11/24/15 <br />For tax assistance or to request this document in an alternate format, visit http://dor.wa.gov/content/taxes/property/default.asp <br />or call (360) 534-1400. Teletype (TTY) users may call (360) 705-6718. <br />REV 64 0100e (w) (10/12/10) <br />