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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 fonvard a copy to the asse"ssor. <br />In accordance with RCW 84.52.020, l, Debbie L. Lee ---------=----------------(Nnme) <br />______ C_le_r_k!T------'_ r __ e_as_ur_er _____ , for _____ C_it-y_o_f_K_i_tu_·t_a_s ____ , do hereby certify to <br />(Title) (District Nnme) <br />the _____ Ki_'t_ti_ta_s _____ County legislative authority that the _C_i_ty.__C_o_u_n_ci_l ________ _ <br />(NnmcofCounry) (Commis$ioners, 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 \ \ -.11 -l i <br />(Date of Public Hearing) <br />Regular Levy: $180,000.00 <br />(State the total dollor amount to be levied) <br />Excess Levy: <br />(Stale the total dollar omount to be levied) <br />Signature: Date: 11/:i7)J'l'" . ; <br />For la."< ~istance, visit hllp://dor,wo..gov or call 1-800-647-7706. To inquire about the availability of this document in an <br />alternate fonnat for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call l-800-451-7985. <br />REV 64 0lOOe(w) (10/26/05)