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DEC - 6 2016 <br />17en2rtmentof � FC1iT1T <br />AS <br />Revenue State Levy Certification RoaRD o� EQu��17 �o <br />N <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, Amber Shallow <br />Treasurer <br />(Title) <br />the Kittitas <br />(Name of County) <br />C <br />(Name) <br />for City of Roslyn , do hereby certify to <br />(District Name) <br />County legislative authority that the . Council <br />(Commissioners, Council, Board, etc.) <br />of said district requests that the following levy amounts be collected in 2019 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 11/27/18 <br />(Date of Public Hearing) <br />Regular Levy: $230,000.00 <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: AL(7 <br />Date: 11/30/18 <br />To ask about the availability of this publication in an alternate fonnat for the visually impaired, please call (360) 705-6715. <br />Teletype (TTY) users, please call (360) 705-6718. For tax assistance, call (360).'334-1400. <br />REV 64 0100e (w) (2/21/12) <br />