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REvutrii E@ <br />Washington Stote <br />(@ <br />Levy Certification <br />(District Name) <br />County legislative authority that the Counsil <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 />In accordance with RCW 84.52.020,1,.Ierica Pascoe <br />(Name) <br />Finance Director for Citv of .do hereby certifu to <br />the <br />(Title) <br />Kittitas <br />(Name of County) (Commissioners, Council, Board, etc.) <br />of said district requests that the following Ievy amounts be collected in 2021 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on I <br />(Date of Public Hearing) <br />Regular Levy:$3.500_000.00 <br />(State the total dollar amount to be levied) <br />Excess Levv s175.000.00 <br />(State the total dollar amount to be levied) <br />Refund Levy: Regular $21,594.02 <br />Excess $l-815. <br />hl0v z 4 <br />7 <br />'1 -"1 <br />t;i.rl ii ,i.. <br />(State the total dollar amount to be levied) <br />Date:tt <br />To ask about the availability of this publication in an alternate format for the visually impaired, please call (360) 7056715. <br />Teletype (TTY) users, please call (360)705-6718. Fortax assistance, call (360) 534-1400. <br />REV 64 0100e (w) Q/2llt2)