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I lrFt , <br />Strlnr" <br />R8vufr"ii E@ <br />Washington State <br />Levy Certification <br />Submit this docurrent to the county legislative authority on or before November 30 of the year precedingthe 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,Jay McGowan <br />(l,Iame) <br />for of Cle Elum do hereby certifu to <br />the <br />(Title) <br />Kittitas <br />(District Name) <br />County legislative authority that the Cle Elum Cirv Council <br />budge! which was adopted following a public hearing held on <br />(Name of County)(Commissioners, Council, Board, etc.) <br />of said district requests that the following levy amounts be collected in ?021 as provided in the district,s <br />(Year of Collection) <br />n/26n0 : <br />(Date of Public liearing) <br />Regular Levy 00 <br />(State the total dollar amount 1o be levied) <br />Excess Ler,y:$q.00 <br />(State the tot"t O-lt* urnount to G teur@ <br />Refund Levy:$0.00(Statethet"io@ <br />Signature <br />-t4/J4 <br />Date: 10126/20 <br />OcT 2t ?a?a <br />iirl.. .- <br />, r-,;i ,, i I't' <br />To ask aboqt tlre availability of this publication in an alternate format for the visually impaired, please call {360) 70s-67rsTelegpe (TTY) users, please call e6q 70s-6ils. For tax assistance, call (360) s34-14b0. <br />REV 64 0100e (w) (2/21/t2)