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2005 Statement '01 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 William & Verna Beth Hamel 1124 W. Grand Salina, KS 67401-0000 081-11-0-20-01-001 1124 W. Grand 1.1.".".".".".".".".".".1'.".".".".".".1'.1'.".".".".".".".".".".".".". I'.".".".' STATEMENT FOR 2005 RURAL FIRE CONTRACT January 1, 2005 through December 31, 2005 CateQorv !m.!! Percent Value Mill Levy Amount Land Residential 11.5% X $107,380.00 X 0.018456 = $227.91 Land Residential 11.5% X $43,920.00 X 0.018456 = $93.22 Amount Due: $321.13 ~~ Please make check payable to City of Salina and remit to prior to December 31. City of Salina AUn: City Clerk's Office P.O. Box 736 Salina, KS 67402-0736 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -- FOR OFFICIAL USE ONLY Amount Paid: ~d( I l Q Receipt No.: \. ~'S~ \ Received By: (~)(it3 Date Received:~~ !j'\ Salina 12/29/2004 City of Salina P.o. Box 736 Salina, Kansas 67402-0736 RECEIPT NO. FIRE PROTE PID#081-11-0-20-01-001 100-020 468.000 CHEn:: 8308 RECEIVED FROM: Wt1. ROGEF.: HAMEL 1124 W.GRAND 321 . 13 ORIGINAL RECEIPT TOTAL PAID 75511 321.13 321 . 13