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RDepartment of (@ evenue <br />Washington State <br />Levy Certification <br />Submit this document to the 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, William J. Powers Jr. ~~~~~~~~~------------------------ <br />(Name) <br />Chairman, Board of Fire Commissioners ,for <br />(Title) <br />___ S_n_o ...... 9_u_al_m_i_e_P_a_s_s_F_ir_e_& __ R_e_s_c_u_e ____ • do hereby certify to <br />(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 11/30/17 <br />(Date of Public Hearing) <br />Regular Levy: $310,000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: $69060 <br />(State the total dollar amount to be levied) <br />Refund Levy: $0.00 <br />(State the total dollar amount to be levied) <br />Date: 11-3d-2..t;?!? <br />To ask about the availability of this pUblication in an alternate format for the visually impaired, please call (360) 705- <br />6715. Teletype (TTY) users, please call (360) 705-6718. For tax assistance, call (360) 534-1400. <br />REV 64 DIODe (w) (2/21112)