2004
",f
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
Wednesday, December 31, 2003
SECOND NOTICE
Ysidoro & Rogene Moreno
1608 N. Fifth Street
Salina, KS
081-01-0-20-01-002
1608 N. Fifth
"'.".'1.".".".".".'1.".".1'_'1.11.".".1'_'1.1._.1....1._.1..1........1.1..1..1..1._11.".".,..1..11.-
* * * REMINDER * * * Payment must be received prior to December 31.
STATEMENT FOR 2004 RURAL FIRE CONTRACT
January 1, 2004 through December 31, 2004
Cateaorv !m! Percent Value Mill Levv Amount
land Residential 30.0% X $2,440.00 X 0.017598 = $12.88
Buildings Residential 11.5% X $52,700.00 X 0.017598 = $106.65
land Residential 11.5% X $13,400.00 X 0.017598 = $27.12
-.--'--'-
Amount Due: $146.65
PLEASE RETURN YELLOW COPY WITH PAYMENT
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: \Ul.o .Lol0 Receipt No.: lR~
Received By: ~wro Date Received:~
City of Salina
P.o. Box 736
Salina, Kansas 67402-0736
RECEIPT NO.
65S"~.4
DESCRIPTION
.....()
FIRE P~(TE PID#081-01-0-20-01_002
lOO-.-()()(! <+68.000
AMOUNT
1608 N. F-- I FTH
146.65
CHECk 14t.J3
RECEIVED
FROM:
1 <;.6 . 65
lS I DOF~:f] r-10F:ENO
OR1':;;lNAL R[CE~PT
TOTAL FAID
146.65