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2005 Statement .' , 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 November 30, 2004 PLEASE RETURN YELLOW COPY WITH PAYMENT Raymond Freeman Babette S. Freeman Trust #1 1901 E. Iron Salina, KS 67401-0000 093-07-0-40-01-014 1901 E. Iron I".".".".".".".".".".".".".".".".".".,..,..................................................".. STATEMENT FOR 2005 RURAL FIRE CONTRACT January 1, 2005 through December 31, 2005 Cateaorv Im! Percent Value Mill Levv Amount Land Residential 11.5% X $32,070.00 X 0.018456 = $68.07 Buildings Residential 11.5% X $171,740.00 X 0.018456 = $364.51 Amount Due: $432.57 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 {, I\{~~ vv\rf -------------------------------------- Received By: FO~OFFICIAL USE ONLY 43~ .0 1 Receipt No.: CAD Date Received: 7507JJ J d- - 7 - o<../- Amount Paid: . ,~ ~ 1 c: ,/"::)",?,.. Ci..)~....~ City of Salina P.o. Box 736 Salina, Kansas 67402-0736 RECEIPT NO. j'5<)"'?2 Salina DESCRIPTION i '::)1-', AMOUNT FIRE FROTE 1901 E. IRON 1 ()(~--()2() i+68 II ()()t) (:)93-(}7-()-40-01-014 43E: . ~j/"I R~~6:: 1021 FROM: 432..57 Rf2i';it.l0ND FF\:EEt'lAN ORIGINAL RECEIPT TOTAL FAID 432.57