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Levy Certification <br />RECEIVED <br />DEC , 5 2017 <br />K lTTn~~~&L~Wts~~rS OA <br />Submit this document to tbe county legislative authority on or before November 30 of 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, -,N:..!.::an:.:.:a:...:Oy~k:!..-_____________ _ <br />(NllIlle) <br />_______ C=le;:.:rk~ ______ • for Kitti tas oll ll ly Cemetery Djstri ot #1 ,do hereby certify to <br />(Title) (District NllIlle) <br />the ____ ..:..:K:..::itt~i:.:.:ta=s____ County legislative authority that the ....;C::::;o~m:=-:m=is::::.sl:.:::· o:.:..:.n ::ers~::----:-:--=---:-_::--_ <br />(Name of County) (Commissioners, Council, Board, etc .) <br />./ ofsaid district requests that the following levy amounts be collected in 20J 8 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 12/14/17 '/ : <br />(Date of Public Hearing) <br />Regular Levy: $14.500.00 / <br />(State the totlll dollar llIllount to be levied) <br />Excess Levy: <br />DEC 28 <br />(State the total dollar amount to be levied) <br />Refund Levy: <br />(State the total dollar amount to be Icvicd) <br />Signature: Date: 12/14/17 <br />To as k about the availability of this publication in an alternate format for the visually impaired, please call (360) 705-6715. <br />Teletype (TTY) users, please call (360) 705-6718. Fo.rtax assistance, call (360) 534·1400 . <br />REV 64 01000 (w) (2121112)