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RD ep artm ent of ~ evenue ,... <br />Washington State <br />Levy Certification NOV 3 a ?n16 <br />Submit this document to the county legislative authority on or before November 30 ofthe 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, Jerica Pascoe ~~~~~~------------------------------(Name) <br />___________ F_m_a_n_c_e_D __ ir_e_ct_o_r __________ ,for <br />(Title) <br />________ C_l~· tY,,-:-o--:-f E __ ll _en....:s~b~urOJ,.g"--____ , do hereby certify to <br />(District Nam e) <br />the _______ --=.K;;.:i::.;tt;;;;it;.::a.::..s _________ County legislative authority that the _C.:::..::.o.;;;;un::.c;;.:i:.:..l ___________________ _ <br />(Name of County) (Commissioners, Council, Board , etc.) <br />of said district requests that the following levy amounts be collected in 2017 as provided in the district 's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 11/07/16 <br />(Date of Public Hearing) <br />Regular Levy: $3 ,000 ,000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: $175 ,000.00 <br />(State the total doll ar amount to be levied) <br />Refund Levy: <br />(State the total doll ar amount to be levied) <br />Date: <br />To ask about the availability of this publi cation in an alternate format for the visually impaired, please call (360) 705-6715 . <br />Teletype (TTY) users, pl ease call (360) 705-6718. For tax assistance, call (360) 534-1400. <br />REV 64 0 I OOe (w)(2121112)