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RerenTI~ @ <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, James L. DeVere _,;;,,,;=""'--'=c...----'-....;.,,,;;_::....:_ ____________ _ <br />(Name) <br />Mayor , for ________ .,._ ______ _ ___ T_o_wn_o_f_S_o_ut_h_C_l_e_E_lu_m ____ • do hereby certify to <br />(Title) (District Name) <br />the Kittitas County legislative authority that the Town Council --------------------------(Name 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 11/19/19 <br />(Date of Public Hearing) <br />Regular Levy: $125 ,000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: <br />(State the total dollar amount to be levied) <br />Refund Levy: <br />(State the total dollar amount to be lev ied) <br />Signarure: ~_, k d, ck < Date: 11/19/19 <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) 705-6718 . For tax assistance, call (360) 534-1400. <br />REV 64 0l00e (w) (2 /21 /12)