2004
II
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
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 2004 RURAL FIRE CONTRACT
January 1, 2004 through December 31, 2004
CateQorv ~ Percent Value Mill Levv Amount
Land Commercial 25.0% X $27,160.00 X 0.017598 = $119.49
Buildings Commercial 25.0% X $83,520.00 X 0.017598 = $367.45
Property Commercial 100.0% X $4,015.00 X 0.017598 = $70.66
Amount Due: $557.59
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: f:I01,eo Receipt No.: lvLf'?hO
Received Byi..'J 1 \l~ Date Received:~
1. ,,/2{) ./2 {)().:s
City of Salina
P.o. Box 736
Salina, Kansas 67402-0736
RECEIPT NO.
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DESCRIPTION
AMOUNT
FIRE PROTE 081-11-0-30-02-005
l345 WOLD HWV 40
::=:;5'7 !I 59
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CHELl': 6287
RECEIVED
FROM:
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ROSS TRUCK LINE. INC.
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