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2005 1 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' Ueu ,~nn Elsey, City Clerk Telephone (785) 309-5735 . Fax (785) 309-5738 Salina November 30, 2004 PLEASE RETURN YELLOW COPY WITH PAYMENT James Leiker 1797 E. Magnolia Salina, KS 67401-0000 099-30-0-40-01-002 1797 E. Magnolia . II."."." _ II _... II ..1. I'." ...... .1..1'.".".".' I.a. _ II. II .1'."._'."." .11 .11.- I."." ....1..... II .11.".' STATEMENT FOR 2005 RURAL FIRE CONTRACT January 1, 2005 through December 31, 2005 Cateaory ~ Percent Value Mill Levv Amount Buildings Residential 11.5% X $188,300.00 X 0.018456 = $399.66 Land Residential 11.5% X $33,000.00 X 0.018456 = $70.04 Amount Due: $469.70 Please make check payable to City of Salina and remit to prior to December 31. City of Saiina Attn: City Clerk's Office P.O. Box 736 Salina, KS 67402-0736 -------------------------------------- FOR OFFICIAL USE ONLY Amount Paid: 4(jf]. 70 Receipt No.: ~/S ~~..3 Received By: 01JrjJ~~ Date Received: Id-I.:J.O/(>-f I I ,~ ''''%;; Salina l:=? ../c::C, ../C~{)(.l""! City of Salina P.O. Box 736 Salina, Kansas 67402-0736 RECEIPT NO. 753E;::::; DESCRIPTION ~7() AMOUNT Fl" fROTE PIO #099-30-0-40-01-002 :1. ()(J-.{)E:() 4t,E3 1: ()()(, 1. 797 E. ,.1AGNOL. I {\ ~ ':.) ':;~ :I 17 C} CHECf:: .3435 RECEIVED FROM: 4&./7' . 7(,. JAr.1ES LE I ~:::EF ORIGINAL RECEIPT TOT{:iL PA I D 4Cl'71 . ~7()