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2007City oaf Salina Monday, December 04, 2006 Ysidoro & Rogene Moreno 1608 N. Fifth Street Salina, KS 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 081- 01- 0 -20 -01 -002 1608 N. Fifth PLEASE RETURN YELLOW COPY WITH PAYMENT STATEMENT FOR 2007 RURAL FIRE CONTRACT January 1, 2007 through December 31, 2007 Cateqory Property Type Percent Value Mill Levy Amount Land AR 30.0% X $2,620.00 X 0.01755 = $13.79 Land FR 11.5% X $20,200.00 X 0.01755 = $40.77 Buildings FR 11.5% X $87,300.00 X 0.01755 = $176.19 Amount Due: $230.76 Please make check payable to City of Salina and remit to prior to December 31. City of Salina Attn: City Clerk's Office P.O. Box 736 Salina, KS 67402 -0736 -------------------------------------- n FOR OFFICIAL USE ONLY Amount Paid: a� �l� Receipt No.: Received By: Date Received: