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RDepa rr ment of ~ evenue ~ <br />Washington Stote <br />Levy Certification <br />Submit this document to tbe county legislative autbority on or before November 30 oftbe year preceding <br />the year in wbich the levy amounts are to be collected and forward a copy to tbe assessor. <br />In accordance with RCW 84.52.020, I, .....;J::..:e:.:a::.;n:.:..:n:.:..:in:.:..:e::...:L~a~v.:..:a::.:.n:..::d:..::e~ ____________ _ <br />(Name) <br />Secretary to the Board , for Kittitas Co. Fire Protection District 6 ,do hereby certify to <br />(#640100) <br />(Title) (District Name) <br />the Kittitas County legislative authority that the Board of Fire Commi s sion ers ------~~~~-------(Name of County) (Commissioners, Council , Board, etc .) <br />of said district requests that the following levy amounts be collected in 2018 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 12/12117 <br />(Date of Public Hearing) <br />Regular Levy: $275.000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: $0.00 <br />(State the total dollar amount to be levied) <br />Refund Levy: $0.00 <br />(State the total dollar amount to be levied) <br />Signature: Date: 12112117 <br />To ask about the availability of this publication in an alternate fonnat for the visually impaired, please call (360) 705-6715 . <br />Teletype (TTY) users, please call (360) 705-6718. For tax assistance, call (360) 534-1400. <br />REV 64 OIOOe (w) (2/21/12)