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2003 .. .. 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 Nicola. City Clerk Telephone (785) 309-5735 . Fax (785) 309-5738 Salina Friday, October 18, 2002 PLEASE RETURN YELLOW COpy WITH PAYMENT Karl & Berniece Keehner Keehner Construction Company 2028 W. North Street Salina, KS 67401-0000 082-1o-o-on-nn-OOIl 2028 W. North Street Road t......... II." .1...'."."."." .11 _'1.".1'-'1.' ....... ....11....1.."."."."." .1'."." .".".1'."." .11.' STATEMENT FOR 2003 RURAL FIRE CONTRACT January 1, 2003 through December 31, 2003 CateQory Buildings ~ Residential Percent 11.5% x Value $85.920.00 Mill Levy X 0.01773 Amount = $175.19 Land Residential 11.5% X $15,870.00 X 0.01773 = $32.36 Amount Due: $207.54 Piease make check payabie 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 / Amount Paid: e::2o 7, .sf!- Receipt No.: 00d.DL.{-__ Received By: CAfJ Date Received: / - ~ - ~ 106/2003 City of Salina P.O. Box 736 Salina, Kansas 67402-0736 117 RECEIPT NO. 50204 ( 120 AMOUNT DESCRIPTION 2028 W. NORTH ST. RD. 207.54 FIRE PROTE *082-10-0-00-00-006 100-000 468.000 CHECK 8622 207.54 RECEIVED FROM: KEEHNER CONSTRUCT ION TOTAL PAID 207.54 OF,:G;r,:AL RECElFT