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2001 (2) ~ , . .} \ ' If CiTy.or FIRE AND EMERGENCY SERVICES 222 W. Elm Street _ Salina. Kansas 67401 TELEPHONE (785) 826-7340 - FAX (785) 826-7346 SILlnG Karl & Berniece Keehner Please return this COPy with your payment 2028 W. North St. Rd. Salina, KS 67401 Statement for 2001 RURAL FIRE CONTRACT January 1 through December 31,2001 Legal Description: PID 082-10-0-00-00-006 2028 W. North St. Rd. November 13, 2000 Amount Due: $2,058.50 $8,344.40 $-0- $10,402.90 X 18.733 mills $194.88 Land Valuation: Improvement Valuation: Property Tax Sheet: Total Valuation: 2001 mill levy Please make check payable to City afSalina. Mail your check to City Clerks Office; P. O. Box 736; Salina, KS 67402-0736 > Payments must be received no later than December 13,2000 in order for the Salina City Commission to approve the contracts for 2001. ============================================================================ FOR OFFICIAL USE ONLY Date: / J!f- Lf- / ) / -~C1-oD Received by: )94-, ?t C))\J Receipt # Amount Paid: 1 /22 /2(H)(! City of Salina P.O. Box 736 Salina, Kansas 67402-0736 RECEIPT NO. 15441 (J DESCRIPTION AMOUNT FIRE PROTE 2028 W. NORTH ST. RD. 100-(H)(1 468.000 194.88 RE&IJ*&K 7292 FROM: 194.88 BERNIECE KEEHNER TOTAL PAID 19'. . 88 ORIGINAL RECEIPT