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frmmd"rd qs o'f <br />tt l7o l2s <br />@RSVEffiid <br />Woshington 5 rote <br />Amended Levy Certiflrcation <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 />ln accordance with RCW 84.52.020,1,Sarah Christensen <br />(Name) <br />Treasurer for Cirv of Roslvn .do hereby certifo to <br />(Title) <br />Kittitas <br />(District Namc) <br />the County legislative authority that the Council <br />(Namc of County)(Commissioners, Council, Board, etc.) <br />of said district requests that the following levy amounts be collected in 2O2L as provided in the district's <br />(Year of Collection) <br />budgct, which was adopted following a public hearing held on lln4nOZO : <br />(Date of Public Hearing) <br />Regular Levy:.00 <br />(Statc the total dollar amount to be lcvied) <br />Excess Levy $32 <br />(State the total dollar amount to be levied) <br />Refund Levy: <br />(State the total dollar amount to be levied) <br />Si <br />'l'o ask about the availability of this publication in an altemate format for the visuallv impaired, please call (360) ?05-67 l5 <br />Teletype (TTY) users, please call (360) 705-67 I 8. For rax assistance, call (360) 534- I 400. <br />REV 64 0100e (w) (2l2lll2)