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Fire Damage January 30, 1990 TO WHOM IT MAY CONCERN: The Rlllfl~~N of the structure located at 1670 Beverly Drive l.Hl-<ie-r- -p.r-o-v-i-&-i-()-t15- -g-t"frfl-t-e-d- -b}.- -t~ -defoo-l-H:-i'i)"l'r -pe-rm-i-t-1'1h-i-ch- -wa-s- -i:>stre"d--to is now complete and the ~~~~~k~~txx has complied with the provisions of the Salina City Code. (Site) /~~~~~ ~XOOX~X~XX Michael E. Peterson Chief Building Inspector (Plumbing) ~:!kb~/ Building Inspector -$> F R o M ....HO-51 1-\ j C.Q ALJJu~ i ;\t.::--:'-i:. 71.04 Soul'h Ohio P. O. Box ,_ SlIIIina. Kansas 67 402-15~'3 Phone (913) 827-'046 I ._~~~, ) b 74 'J3~ .D-'l . SIGNED DATE / / ~Fa1M. 45472 POLY PAK (50 SETS) 4P 472 - SEND PARTS 1 AND 3 INTACT . PART 3 WILL BE RETURNED WITH REPLY. j carbonIe-.. Jl:u/{/ (~n {06 Fire X :5:)7-8CJ13 ~M '110- iiW,;,.. ,I: . , ~j~A I..:at. ~ S:;'TATES ";u OJUSTME NT I INC. .. 714 SOUTH OHIO - P.O. BOX 1573 SALINA, KANSAS 67402-1573 The City of Salina OFFICE OF THE CITY CLERK 300 West Ash Salina, Kansas 67401 No.OE17062 Horace Mann Insurance Company . PAYABLE THROUGH No. 087062 The First National Bank Springfield, Illinois nsured Vie kie Riedel *1,60&.00 Date: 01 10<} 190 UPON ACCEPTANCE THIS COMPANY WILL PAY:$ ****1,000.00 To The Order Of TREASURE CITY OF SALINA PAYMENT PER ARTICLE 39 r. MIDSTATES ADd PO Box 1573 Salina, KS 67402 Void After 90 Days jJ.~, f ~ Authorize S gnature 11'0870 b 211' 1:07. .00 27 21: ~ ~ b 7 ... 0 ~ II' 00~5