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R8vuh"ii E@ <br />Woshington Stcte <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 />Levy Certification <br />In accordance with RCW 84.52.020,1,Ervn A Micallef <br />District Secretaryi Finance Admin , for <br />(Name) <br />Kittitas County Fire Protection <br />District No. 7 <br />, do hereby certifu to <br />the <br />(Title) <br />Kittitas <br />(District Name) <br />County legislative authority that the Commissioners <br />(Commissioners, Council, Board. etc.) <br />2021 as provided in the district's <br />(Year of Collection) <br />Date: lllll12020 <br />(Name of CountY) <br />of said district requests that the following levy amounts be collected in <br />budget, which was adopted following a public hearing held on lLnt/20 <br />(Date of Public Hearing) <br />Regular Levy $3.100.000.00 <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 levied) <br />Signature: <br />'' 'i'i'l l' <br />lr|ov l7 ';'t7r' <br />To ask about the availability of this publication in an altemate format for the visually impaired, please call (360) 705-67 I 5 <br />Teletype (TTY) users, please call (360) 705-6718. For tax assistance, call (360) 534-1400. <br />REV 64 0100e (w) (2Dl/12)