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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 James Leiker 1797 E. Magnolia Salina, KS 67401-0000 099-30-0-40-01-002 1797 E. Magnoiia 111_'1.".'1 _'1.".".".".". ....1... .11 .".".1'."." ....1. .1'_ ".,......1."..1.".".' .....1......1 .11 -.... STATEMENT FOR 2003 RURAL FIRE CONTRACT January 1, 2003 through December 31, 2003 Buildings Residential 11.5% Value Mill Levv Amount X $18,320.00 X 0.01773 = $37.35 X $228,58000 X 0.01773 = $466.06 -------- - ---~------------ ---- -~-,-_._-- Amount Due: $503.42 Category Land ~ Residential Percent 11.5% 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* ~a Receipt No.: '-I74tJ7 Received By:.::i J It..Li-A Date Received:~