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
Irma Jean Hedges
320 E. Pleasant Hill Road
Salina, KS 67401-0000
037-36-0-20-01-001
320 E. Pleasant Hill Road & 2516 N. Fifth Street
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STATEMENT FOR 2004 RURAL FIRE CONTRACT
January 1, 2004 through December 31, 2004
Cateaorv !YIm Percent Value Mill Levv Amount
Land Residential 30.0% X $2,000.00 X 0.017598 = $10.56
Land Residential 11.5% X $24,040.00 X 0.017598 = $48.65
Buildings Residential 30.0% X $1,670.00 X 0.017598 = $8.82
Buildings Residential 11.5% X $200,460.00 X 0.017598 = $405.68
Amount Due: $473.71
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: L\ 1~....:1 I Receipt No.: (04711 3
Received By: S uY~ Date Received:3.f}Q~ 2.f::r::5:3
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City of Salina
P.o. Box 736
Salina, Kansas 67402-0736
RECEIPT NO.
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AMOUNT
DESCRIPTION
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