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2009 Department of Finance and Administration Office of City Clerk 300 West Ash Street, Suite 206 * P.O. Box 736 Salina, KS 67402-0736 Rodney Franz, Finance Director * Lieu Ann Elsey, City Clerk Telephone (785) 309-5735 * Fax (785) 309-5738 Salina Tuesday, November 25, 2008 PLEASE RETURN YELLOW COPY WITH PAYMENT Jerry & Carolyn Lehman 804 W. Euclid Street Salina, KS 67401-0000 081-02-0-10-01-013 804 W. Euclid Street 1.1..1...... .".1'."."." .11 - 1'- ........ .1'.". II .......... III."., _.1'_ . Ii.. "".'.'1."" II. ".1' ""'.111_ II'" II _Ii""" STATEMENT FOR 2009 RURAL FIRE CONTRACT January 1, 2009 through December 31, 2009 CateQorv Property Type Percent Value Mill Levv Amount Land RR 11.5% X $26,720.00 X 0.020112 = $148,980.00 X 0.020112 = $61.80 $344.57 Buildings RR 11 .5% X Amount Due: $406.37 Please make check payable to City of Salina and remit to prior to December 31, 2008. City of Salina Attn: City Clerk's Office P.O. Box 736 Salina, KS 67402-0736 ---------------.....---------------------- Received By: FOR OFFICIAL USE ONLY L/.Olu ,3 7 Receipt No.: Q..., ~ . Date Received: 104-7/0 fa.. -a:J. -Of Amount Paid: 12/22/2008 City of Salina P.O. Box 736 Salina, Kansas 67402-0736 RECEIPT NO. 104710 FIRE PROTE #081-02-0-10-01-013 LEHMAN 100--020 468. 000 804 W. EUCLID ST. 406.37 CHECK 5'+32 RECEIVED FROM: 406.37 SCREEN FACTORY & GLASS SHOP ORIGINAL RECEIPT TOTAL PAID 406.37