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[]apartment of <br />R&enue OP <br />Washington State <br />Levy Certification <br />�N 1-1 �' RECEIVED <br />DEC 15 2017 <br />MIKF' "00GAnAY <br />KITTITASCOUN gSgf350p <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, I, Nana Dyk <br />(Name) <br />Clerk for Kittitas_County Cemetery District #1 _, do hereby certify to <br />(Title) (District Name) <br />the Kittitas County legislative authority that the _ Commissioners <br />(Name of County) (Commissioners, Council, Board, etc.) <br />of said district requests that the following levy amounts be collected in 2018 r as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 12/14/17 ` <br />(Date of Public Hearing) <br />Regular Levy: $14,500.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: <br />(State the total dollar amount to be levied) <br />Refund Levy: <br />(State the total dollar amount to be levied) <br />Signature: °LGA . LAI' <br />Date: 12/14/17 <br />To ask about the availability of this publication in an alternate format for the visually impaired, please call (360) 705-6715, <br />Teletype (TTY) users, please call (360) 705-6718. For tax assistance, call (360) 534-1400. <br />REV 64 0100a (w) (2)21/12) <br />