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LGS FORMTNT•91 <br />PUBLIC HEARING <br />1. Month and Date Public Hearing Held: <br />L 2. Day of Week Pub :c Hearing Held. <br />3. Time of Day Public Hearing Held: <br />4. Month, Date, Day of Week, and Time <br />of Day Reconvened Public Hearing Held: <br />5. Amount of Payable 1991 Final Tax Levy <br />Certified to County Auditor: <br />Page <br />V erp }rty zi , i qqO <br />Co', 3o Pm. <br />___Ofnernoci V\Japerflij9 <br />113 17 1-173.56 <br />VERIFICATION: Send a copy of the minutes of your public hearing and continuation hearing (if <br />needed) where your final levy was adopted. <br />CERTIFICATION OF FINAL TAX LEVY <br />1, Date of Certification of Payable 1991 Final <br />Tax Levy to County Auditor: <br />2. <br />Amount of Payable 1991 Final Tax Levy <br />Certified to County Auditor: <br />ueenoc_( 2.69. i qqo <br />1 l,t7ir7.y13.�� <br />VERIFICATION: Send a copy of the Resolution adopting your payable 1991 final levy which was <br />certified to the county auditor. A school district should submit the signed copy of page 11 of the <br />Department of Education form titled "Levy Limitation and Certification. 1990 Payable 1991" which <br />shows the final certified levy for payable 1991. A school district should also submit a copy of the <br />minutes of the public hearing where the flaaf levy was adopted. <br />CERTIFICATION OF COMPLIANCE WITH TRUTH IN TAXATION <br />PAYABLE 1991 <br />I, the authorized representative of the above mentioned county, city or school district, certify that the <br />forgoing information is accurate to the best of my knowledge. <br />ati' _ _ [Woo c " 12 24 0 -GJ <br />SIGNATURE OF AUTF�ORI7.EU REPRESENTATIVE TITLE DATE <br />