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Oepal'IJ11 011t of r@ Revenu e ~ <br />Washington State <br />Levy Certification DEC - 3 2019 <br />Submit this document to the county legislative authority on or before November 30 ofttte year p'receding , <br />the year in which the levy amounts are to be collected and forward a copy to the assessor. r ,· .>. '"· ., <br />In accordance with RCW 84.52.020, I, Sarah C hristen se n <br />_.c,.;.;.;;..;..; ____ ....;..;..~-"-"-------------- <br />(Name) <br />_______ T_re~a...;;.s~ur....;e_r ______ ,for <br />(Title) <br />_____ C_ity.._. _o_f _R....;o...;;.s ... ly-'IL=--------'' do hereby certify to <br />(District Name) <br />the Kittitas County legislative authority that the Council ------------__ .;...._.....;... _________ _ <br />(Name of County) (Comm issioners, 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 /12120 1'9 <br />(Date of Public Hearing) <br />Regular Levy: $235 000 <br />(State the total dollar amount to be levied) <br />Excess Levy: <br />(State the total dollar amount to be levied) <br />Refund Levy: <br />(State the total dollar amount to be lev ied) <br />C ~ALP 1 <br />Si gnature~GlJ/\, -k\=t~;r.;;---·----- <br />Date: 11/12/19 <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 0I0Oe (w) (2/21 /12)