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2004 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 Thursday, November 13, 2003 PLEASE RETURN YELLOW COpy WITH PAYMENT Timothy Buyse Habco, Inc. 248 E. Berg Road Salina, KS 67401-0000 1.11-01-0-30-02-006 248 E. Berg Road 1.1 _.1.11_.1.1.... _.1.1.....1..' _.1' _ II." _'1 .1'."._ .... _ ......11..' .11 _ I'.".". II _ I'." .11.' ..... ".".'1._'.' STATEMENT FOR 2004 RURAL FIRE CONTRACT January 1, 2004 through December 31, 2004 CateQorv !YQg Percent Value Mill Lew Amount Property Commercial 100.0% X $65,179.00 X 0.017598 = $1,147.02 Land Commercial 25.0% X $44,280.00 X 0.017598 = $194.81 Land Commercial 30.0% X $440.00 X 0.017598 = $2.32 Buildings Commercial 25.0% X $257,020.00 X 0.017598 = $1,130.76 Amount Due: $2,474.91 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 FOR OFFICIAL USE ONLY AmountPaid:~ Receipt No.: UCQ<:>~ Received By: ~~-L} {C YS Date Received: 121 L 8/A!3:3 City of Salina P.o. Box 736 Salina, Kansas 67402-0736 fl1-V RECEIPT NO. 1::>=;.:~::::LI' DESCRIPTION AMOUNT j '"7() '\ FIRE PROTE PID# 131-01-0-30-02-006 c~c ~. BERG ROAD ~.::: ~ ~+'-;' ,~t. .. ':=7' 1 1 ::)()-~.()(){) '+6E;" o.)t)C. CHEC! RECEIVED FROM :-, ._; .~'; .....,(., __. 'U. _~ ._. E:: v a:t '7 ';'1 51 ,;" 1 HABCO. I r.~c . TOTAL PAID c:: " ~:{. /' ~~. It '~i 1 C. ~\':~;"t FliC(.~,f::; r