2005
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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
November 30, 2004
PLEASE RETURN YELLOW COPY WITH PAYMENT
Michael Ross
Ross Truck Lines
P.O. Box 2803
Salina, KS 67401-2803
081-11-0-30-02-005
1345 W. Old Highway 40
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STATEMENT FOR 2005 RURAL FIRE CONTRACT
January 1, 2005 through December 31, 2005
CateQorv Im!! Percent Value Mill Levv Amount
Land Commercial 25.0% X $27,160.00 X 0.018456 = $125.32
Property Commercial 100.0% X $4,015.00 X 0.018456 = $74.10
Buildings Commercial 25.0% X $108,010.00 X 0.018456 = $498.36
Amount Due: $697.78
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
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FOR OFFICIAL USE ONLY
Amount Paid: l6.~."(r), f-(?<; Receipt No.: ]:1JC[O
Received By: ~\." ]. Gtc) Date Received:~
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City of Salina
P.O. Box 736
Salina, Kansas 67402-0736
RECEIPT NO.
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Salina
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DESCRIPTION
AMOUNT
FI~E ~ROTE PID #081-11-0-30-02-005
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1345 W.OLD HWY 40
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CHECk 7364
RECEIVED
FROM:
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ROSS TRUCK LINE. INC.
ORIGINAL RECEIPT
TOTAL F'AID
t:,S;"7. '78