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@ <br />W ft rn tnda.d v <br />Q t_,,ptt LLryt <br />nBVEiiiiiS <br />Washington S <br />Levy Certification <br />tdfe <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 84.52.02A,1,Sarah Christensen <br />(Name) <br />Treasurer . for CiW of Roslvn , do hereby certifli to <br />the <br />(Tiile) <br />Kittitas <br />(District Name) <br />County legislative authority that the Council <br />(Name of County)(Commissioners, Council, Boad, etc.) <br />of said district requests that the following levy amounts be collected in 2021 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 1u24n020 <br />(Date of Public Hearing) <br />Regular Levy:00 <br />(State the total dollar amount to be levied) <br />I l i .. <br />S <br />Excess Levy: <br />(Statc thc total dollar amount to be levied)N0\/ 3 il <br />Refund Levy:' .;1...". .. <br />(State the total dollar amount to bc lcvied) <br />To ask about the availability of this publication in an altemate format for the visuallv impaired. please call (360) 705-67 15. <br />Teletype (TTY) users, please call (360)705-6718. For tax assistance, call (360) 534-1400. <br />REv 64 0100e (w) {2/21/t2)