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rifii'" D e p artment o f ~~venue Levy Certification <br />Washington S(o(e <br />NOV 1 4 '(:"'1 <br />/ f, L <br />Submit tbis document to the county legislative authority on or before November 30 oftbe year preceding <br />tbe year in wbicb tbe levy amounts are to be collected and forward a copy to tbe assessor. <br />In accordance with RCW 84 .52.020, I, John Sinclair <br />(Name) <br />_______ F::....:.:ir..::.e-=C:;.::h:.:.:i..::.e.::..f _____ ----', for Kittitas County Fire Protection Dist 2 ,do hereby certify to <br />(Title) (District Name) <br />the Kittitas County legislative authority that the Board of Fire Commissioners -------~~----------(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 11/13/17 <br />(Date of Public Hearing) <br />Regular Levy: $4.500,000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: $465.000.00 <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: ~ <br />/' <br />Date: 11113/17 <br />For tax assistance or to request this document in an alternate format, visit http ://dor .wa.gov/content/taxe5tp roperty/defauI Ulspx <br />or call (360) 534-1400 . Teletype (TTY) users may call (360) 705-6718 . <br />REV 64 OIO Oe (w) (10 /12/10)