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HrH , <br />ELdn'" <br />d,rufril8@ <br />Woshington Stote <br />Levy Certification <br />Submit this document to the county legislative a_uthority on or before Novembcr 30 of the year precedingthe year in which the levy amountsarJto be collected and fonraro <br />" ""pv tlil; ;.;r"" <br />In accordance with RCW 84.SZ.0Z0,I,Jav <br />OJam") <br />Mayor for Citr of CleElum -__, do hereby certifo to <br />the <br />(Title) <br />Kittitas <br />(District Narne) <br />Counfy legislative authorify thar the Cle Elum Citv Council <br />budget which was adopted following a public hearing held on <br />(Name of County)(Commissioners,Council, Board, etc.) <br />of said dishict requ€sts that the following levy amounts be collected in 2021 _ as provided in the district,s <br />(Year of Collection) <br />t0/26/20 : <br />(Date of Public Hearing) <br />Regular Levy: <br />(State the total do.llar amount 1o be levied) <br />Excess Levy:$0,00 <br />(State the totnt Oott*.mmr to Ue@ <br />Refund Levy:$0.00 <br />(State the totrl dollar amount to be levied) <br />Signature: <br />i--z\ <br />4t (* <br />OCi ?T :iiti <br />Date: 10/26/20 <br />To ask about the availability of this publication in an alternate format for the visually impaired, please call (360) 7os-671sTeletlpe (TTY) users, please oali (360) 705-6|. lg. For rax assisrance, call (3 60) 534_l4OO. <br />REV 64 01000 (w) (2t?lilZ)