Laserfiche WebLink
RDepart fTl ent of l"Q 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, Dale Scott Olander --------------------- <br />Treasurer , for <br />(Title) <br />(Name) <br />Kittitas County Public Hospital <br />District No. 2/EMS Levy <br />(District Name) <br />, do hereby certify to <br />the Kittitas County legislative authority that the Board of Commissioners ------------(N arn e of County) (Commissioners, Council, Board, etc .) <br />of said district requests that the following levy amounts be collected in 2020 as provided in the district 's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 11/04/19 <br />(Date of Public Hearing) <br />Regular Levy: $1 300,000.00 <br />(State th e 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: ·De-k.Jl~ ()~~ Date: 1 I /1 7 } "J. 0 I o/ <br />To ask about the availability of this publication in an alternate fonnat 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 0I00e (w) (2/21/12)