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
William & Verna Beth Hamel
1124 W. Grand
Salina, KS 67401-0000
081-11-0-20-01-001
1124 W. Grand
. II _ .._.._.._ .._ "_1'_1'_1' _ '__1' _'1 _ "_1' _ II _. ._.._.._. 1_1'_1' _II _"_"_1'_' '_1' _.._. '_1' _'1__ '-1' _'1_1'- ..-..-.
STATEMENT FOR 2004 RURAL FIRE CONTRACT
January 1, 2004 through December 31, 2004
CateQorv I.mg Percent Value Mill Levv Amount
Land Residential 11.5% X $37,560.00 X 0.017598 = $76.01
Buildings Residential 11.5% X $101,840.00 X 0.017598 = $206.10
Amount Due: $282.11
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 Paid: 2'82. II Receipt No.: t.ol(f:fr~
Received By: ~A )~. Y S Date Received: l\ en"' (fi~2.
City of Salina
P.O. Box 736
Salina, Kansas 67402-0736
RECEIPT NO.
65587
DESCRIPTION
.... -)
AMOUNT
FIRE PROTE PID#081-11-0-20-01-001
100-000 468.000
1124 W GRAND
282.11
CHECK 8055
RECEIVED
FROM:
282.11
Wt'1. ROGER HAMEL
TOTAL PAID
282.11
ORIGiNAL RECEiPT
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