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Re*^fr;lit@ <br />Woshington Stote <br />Forrn 64 0X.CI0 <br />Levy Certification <br />submit this document, or something simirar, to the county legislative <br />authority on or before November 30 of the year preceding the year in which <br />the levy amounts are to be collected. <br />Courtesy copy may be provided to the county assessor. <br />This form is not designed for the certification of levies under RCW g4.52.070. <br />Dale Scott Olander {Name), <br />(Title), for Kittitas County Public H Dist. No.2 (District nome), <br />ln accordance with RCW 84.52.020, I <br />Treasurer <br />do hereby certify to the Kittitas (Name of county) County legislative authority <br />that the Board of Commissioners (Commissioners, Council, Board, etc.) of said district requests <br />that the following levy amounts be collected in 2A24 (Year of collection)as provided in the district's <br />budget, which was adopted following a public hearing held on 10-16-2023 (Date of public hearing) <br />ular levies <br />Excess levies <br />*Examples of other levy typ <br />Examples of other amounts <br />es may include EMS, school district tra nsportation, or construction levies <br />may include levy error correction or adjudicated refund amount. please include <br />a descripti <br />Signature: <br />on when us th <br />To request this docu <br />or call 360-705-6705 <br />opti <br />Date:o8 ?.ot- <br />ment in an alternate format, p.l.e?s_q complete the form dor.wa.gov/AccessibilityRequest <br />. Teletype (TTY) users please dial 71 1. <br />EMS <br />Total certified levy request <br />amount, which includes the <br />amounts below. <br />$2,000,000.00 $2,000,000.00 <br />Administrative refund amount $t.zg $ .3e <br />Non-voted bond debt amount <br />Other* <br />General levy Other levy*Ievy <br />Totalcertified levy <br />request amount/ <br />which includes the <br />amounts below' <br />L-J <br />Administrative refund <br />amount <br />Other* <br />General <br />(n/a for school <br />d istri cts) <br />Enrichment <br />(school <br />districts only) <br />OtherLevyBondCap. project <br />REV 64 07OO (8/23/221 Page 1 of 1