Laserfiche WebLink
RECEIVED <br />DEC 1 4 2018 <br />Departrr1en t of (~ Revenue ~ Levy Certification 80 KITTITAS COUNTY <br />L ARD O F EQUA LIZATION Washington State <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, Elizabeth Allgood -----~--------------- <br />Treasurer • for <br />(Title) <br />(Name) <br />Kittitas County Public Hospital <br />District No. 1 <br />(Di strict Name) <br />, do hereby certify to <br />the Kittitas County legislative author ity that the Board of Commissioners ------------(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 10/25/18 <br />(Date of Public Hearing) <br />Regular Levy: $25 ,00 0.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: <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: <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) 705-67 I 8. For tax assistance, call (360) 534-1400. <br />REV 64 0l00e (w) (2/21112)