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0 D pa r1m ant of (~ n.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, Jav McGowan -'---------------------(Name) <br />Ma )Or , for -----------------____ ....;C_i .... t)c...· o.;;..;fc....C.c..l....:e....:E::.;l:..:.;u.:..m..;.._ ___ , do hereby certify to <br />(Ti tie) (District Name) <br />the Kittitas County legislative authority that the Cle Elum City Council ------------(Name of County) (Commissioners, Council, Board , etc.) <br />of said district requests that the following levy amounts be collected in 2019 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 10/09/18 <br />(Date of Public Hearing) <br />Regular Levy: $750.000 .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: 10/09/18 <br />To ask 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. For tax assistance, call (360) 534-1400. <br />REV 64 OIOOe (w) (2/21/12)