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RD~partment or r@ evenue ~ <br />Wa shrngton St ate <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 fonvard a copy to the assessor. <br />In accordance with RCW 84.52.020, I, Debbie Lee --------------------(Name) <br />Clerk/Treasurer , for -------'--------------_____ C_1_·ty.__o_f _K_it_ti_ta_s ____ , do hereby certify to <br />(Title) (District Name) <br />the Kittitas County legislative authority that the Citv Council --------------..........a---~"---------(Nnme 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 />( Y car of Collection) <br />budget, which was adopted following a public hearing held on 11/26/19 <br />Regular Levy: $180,000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: <br />(State the total dollar omount to be levied) <br />Refund Levy: $1 399.18 <br />(State the total dollar amount to be levied) <br />Signature: ~~~ ~ <br /><.:..:.:, <br />(Date of Public Hearing) <br />Date: 11/26/19 <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 OIOOc (w) (2,'21/12)