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Rafiiffti.fe Levy Certification Submit this document, or something similar, to the county legislative authority on or before November 30 of the year preceding the year in which the levy amounts are to be collected. Courtesy copy may be provided to the county assessor. This form is not designed for the certification of levies under RCW 84.52.070. Date Woshington Stote Fssrrw ffi4,S3.ffiS ln accordance with RcW 84.52.020, I Debbie Lee (Name), ClerUTreasurer ffiile), for City of Kittitas (District name), do hereby certify to the Kittitas flame of county)County legislative authority that the City of Kittitas Council pommissioners, Council, Board, etc.) of said district requests that the following levy amounts be collected in 2023 (Year of cottection)as provided in the district's budget, which was adopted following a public hearing held on 1110812022 @ate of pubtic hearing). Regular levies Excess levies *Examples of other levy types may include EMS, school district transportation, or construction levies. Examples of other amounts may include levy error correction or adjudicated refund amount. Please include a descri Signatu when usi the "er" options. re To request this document in an alternate format, please complete the form dor.wa.gov/AccessibilityRequest or call 360-705-6705. Teletype (TTY) users please dial 71 1. REV 64 0t0o (8/27/2Il Page 1 of 1 Total certified levy request amount, which includes the amounts below. 198,000,00 Admin istrative refr"in d a mount 568.00 Non-voted bond debt amount Other* General levy Other levy*Levy Total certified levy request amount, which includes the amounts below. L-.J Administrative refund amount Other* General (n/a for school districts) Enrichment (school districts only) Other Bond Cap. project :r Levy