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HomeMy WebLinkAbout*Other - Public WorksGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT:Public Works REQUEST SUBMITTED BY: Shilo Nellis CONTACT PERSON ATTENDING ROUNDTABLE: Sam Castro CONFIDENTIAL INFORMATION: DYES ®NO DATE: 11/28/23 PHONE: 509-754-6082 lVdam 11-00111 .�� ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Sery/Consultant ❑ Support Letter ❑ Surplus Req. ®Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB :. .. G T .......,�� �.D,� N G,..�� �... A.G �.N DA M,,:= - •, ■ -Levy Certification, general levy $10,865,904.27 collected in 2024 DATE OF ACTION: f / Z,.�-19 3 APPROVE: DENIED D1: D2: D3: ABSTAIN DEFERRED OR CONTINUED TO: �e -►��"� . De artmen' of Levy Revenue Submit this document, or something similar, to the county legislative Washington State authority on or before November 30 of the year preceding the year in which the levy amounts are to be collected. Form 64 0100 Courtesy copy may be provided to the county assessor. This form is not -designed for the certification of Levies under RCW 84.52.070. In accordance with RCW 84.52.020, f Samuel castr® Name l 1l Director for ctlT1� oS (Title), (District name), GRANT herebycertifyto the (Name of county) County legislative authority that the co (Co n�missiraners Council �Qard etc. of said district re e(r ) requests that the following levy amounts be collected in 2024 a co�lectr'c�n as rovided in the district's (Year f � p budget, which was adopted following a public hearing held on Date of public hearing). Regular levies Excess levies `Examples of other levy types may include EMS, school district transportation, or canstructior�-levies: Examples of other r punts may include levyerror correction or adjudicated refund, amount: hl'ese rn`c 6'7 1 !e a description whe �'�sin"t-p her options Signature: y-- Date: Z To request this document in an alternate format, please complete the form dor.wa or call 360-705-6705. Teletype (TTY) users please dial 711 REV 64 0100 (8/23/22) Page 1 of 1