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2001-s FIRE AND EMERGENCY SERVICES 222 W. Elm Street • Salina, Kansas 67401 ' TELEPHONE (785) 826-7340 • FAX (785) 826-7346 Jerry Vanier %Gerrie Ulrich Please return this copy with your payment P.O. Box 1562 Salina, KS 67401 Statement for 2001 RURAL FIRE CONTRACT January 1 through December 31, 2001 Legal Description: PID 094-19-0-40-02-012 & November 13, 2000 099-30-0-10-01-001 1728 & 1732 S. Marymount Rd. Land Valuation: $3,170.00 Improvement Valuation: $47,973.00 Property Tax Sheet: $-0- Total -0- Total Valuation: $51,143.00 2001 mill levy X 18.733 mills Amount Due: $958.08 Please make check payable to City of Salina. Mail your check to City Clerks Office; P. O. Box 736; Salina, KS 67402-0736 > Payments must be received no later than December 13, 2000 in order for the Salina City Commission to approve the contracts for 2001. FOR OFFICIAL USE ONLY Amount Paid: �A' Received by: ct� — Receipt #Z42 �4 Date: /3 - O -b City of Salina Box 736 P.0 13 '260! Salina, Kansas 67402-0736 RECEIPT NO. DESCRIPTION FIRE PROTE 1728 & 1732 S. MAR'MOUNT RD. e . t:) %7) k") CHECK 3059 RECEIVED FROM: JERRY D. VAN IER ORIGINAL RECEIPT 16488 1 12 AMOUNT TOTAL PAID 258.08