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Rairufr"iiE@ <br />Washrngton Stote <br />Levy Certification <br />(District Name) <br />County legislative euthority that the Commissioner <br />(Commissioners, Council, Board. etc.) <br />Submit this document to the county leglslntive authorlty on or hefore November 30 of the year preceding <br />the year ln whlch the levy rmountr are to bc collected and forrard a copy to the assesson <br />In accordance with RCW 84.52.A20,1,Christopher Helseson <br />(Name) <br />Fire Chief for Kittitas Counfv Fire District #3 do hereby certiS to <br />the <br />(Tirle) <br />Kittitas County <br />{Name of County) <br />of said distriet requests that the following levy amounts be collected in 2A2l as provided in the disffict's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on tuastz0 <br />(Date of Public Hearing) <br />Regular Levy:$77.989.s0 <br />(Slale the total dollar amount to be levied) <br />..,; ' i.. .-if i I i -.' <br />Excess Levy:$0.00 <br />(State the total dollar amount to be levied) <br />N0\ ?4 <br />Refund Levy:$0.00 t/ <br />(State the total dollar amount to be levied) <br />?' <br />i rr'.'fr5:{L <br />Date: tt. a:-Jooo <br />To ask about the availability of this publication in an altemate format for the visually impaired, please call (360) 705-6715. <br />Teletype (TTY) users, please call (360) 705-67 I L For tax assistance, call (360) 534- I 400. <br />REV 64 0100e (w) QDI/t?)