2004
...,J
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
James Leiker
1797 E. Magnolia
Salina, KS 67401-0000
099-30-0-40-01-002
1797 E. Magnolia
STATEMENT FOR 2004 RURAL FIRE CONTRACT
January 1, 2004 through December 31, 2004
CateQorv IYlli! Percent Value Mill Levv Amount
Land Residential 11.5% X $23,000.00 X 0.017598 = $46.55
Buildings Residential 11.5% X $191,900.00 X 0.017598 = $388.36
Amount Due: $434.91
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
--------------------------------------
FOR OFFICIAL USE ONLY
Amount Paid: ~ Receipt No.: lD:::4()~
Received By: ~6 Date Received: IStfe.2ctaJ
City of Salina
P.O. Box 736
Salina, Kansas 67402-0736
c:::
~
RECEIPT NO. ,::'50::1-03
'I c)
DESCRIPTION
AMOUNT
FIRE ~ROTE PID# 099-30-0-40-01-002
100-000 468.000
1797 E MAGNOL 1;'\
i~.3lt. . 91
CHECK 321 c;,
RECEIVED
FROM:
43'+ .. 91
J'AI'1ES S. LE I KER
TOTAI_ F'A 1 D
':+34 . S'l
OmG1NAl RECEIPT