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Rl;:fiffiii[(? <br />i&"j{r:;rrt{1l, 1;,r{r <br />Form tr 0100 <br />Levy Certification <br />Subrnit this document, or Sornething sirni{at to the county legiclatlvc <br />authorlty en or beforu Novnmber 30 sf the yeer preceding the Vear ln whlch <br />the levy arflounts are to be collected. <br />Couttery copY nnaY be provided to the eounty a55e5ssr. <br />Thls forrp is nat de:ig*ed for lhe certlfiration ol levier under RCW 84.5e^070, <br />NOV 23 <br />ffi aecsrdance with Bcw 84.5r.0?0, I wllli*m Fowerc tUarr'e], <br />Chrirrran cf thc goani {Tittt},fsr ltlrE and {ittltas (olntie: Flre Oirfilst 31 f0lsfricf narne), <br />do h*reby ce rtify t* the Kint and Kittitlr fffeirre *f r*urtty] County legirlarivr auth*rity <br />lhat th* Flre Comnrirsioners {f,srnrnisri*neri, tsurtif E*srd, rfr.i af laid dilrrirt requests <br />that the foltowing levy anrcr*pf* be collerls6 in l02l {Ye*r o! r*l{ertirzn} as prouided in the dlstrict'r <br />budger, whieh ws* adopted iottowing a public ilsarrng held on fV10/20?1 {*sl* sf p*hlir he*rinq!. <br />tar levies <br />Excess leuies <br />'lxamples a{ other levy typet may lnclud*M5, rchc*l digtnct iransp*rtattsn, *f ccnstruclion leviel. <br />Exarnples uf *ther smountc rnay include ltvy error tsf r€chsa ur adludicated re{und arFount. Pleare lncl*de <br />a descriptto*w the " opfi c . r"-l 4lfl*tt --- j I l-F- <br />$ignature:Det€: <br />Ts request thir dqcurnent in En alternate format, phalq complete the form d-gg.rnia,6l+vrAsg€5sibllltdt€su*lt <br />or cali36S705-6705. Teletype (TTY) urcrr pl€ase disl 7l I' <br />nev 64 o1*s {Sf?7/?r} Fage I ol I <br />n <br />$ 7ffi,0o9.0oTntal certllicd levy requ*st <br />flrnoilnt. which inelude* the <br />smfluntl' bEl*$d, <br />Adrninhtr*qive r*fu nd rrrtount <br />I88,368"0$Itlon-vcted b*nd efebt arrtqunt <br />Slh*r* <br />Gerer;rlfuvy Other lr:vy'Luvy <br />jeo'u rxnru I <br />- <br />$ 16,67t.$o3 &t,gsl.goTolalcedlled lavy <br />reque*t afficunt, <br />*rltich inelude* ?he <br />amou*tl brlEw, <br />Admlnistrafiv* refunrJ <br />affiount <br />$ther" <br />Gerreral <br />{ r r,"'..i lu: "r-i lrn.rl <br />{Ni',i I r{ l''i <br />Enrie hntcnl <br />{,,rll*t:1 <br />rjl ,! r tL !.' otriy] <br />Cap. prajectEorrdLevy <br />Otlrer