2004 Statement
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Salina
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
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Thursday, November 13, 2003
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
....1..".".' ..............1.."."." ........1." .......1.....1..1.." .......... ........... ."."."."."_'1.'
STATEMENT FOR 2004 RURAL FIRE CONTRACT
January 1, 2004 through December 31, 2004
Cateaorv ~ Percent Value Mill Levv Amount
Land Residential 11.5% X $21,760.00 X 0.017598 = $44.04
Buildings Residential 11.5% X $164,700.00 X 0.017598 = $333.31
Amount Due: $377.35
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
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FOR OFFICIAL USE ONLY
Amount pai~"'Srr1~?75 Receipt No.: lJ)C()'l.~
Received BY:J ~ ) CO Date Received:Q.11r 2m3
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City of Salina
P.o. Box 736
Salina, Kansas 67402~0736
RECEIPT NO.
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DESCRIPTION
AMOUNT
FIRE PROTE PID# 093-07-0-40-010-014
1 (H)--OOO 46E:. 000
1901 E:. I F\:ON
:377" 35
CHEC!< 9219
RECEIVED
FROM:
37'7 _ 3t:;
RAYMOND S. FREEMAN
C:P~Gi:',~/.L REC[~.':'T
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