2002 (1728 S Marymount Rd) (2)City0f
Salina
Friday, October 18, 2002
Genie Ulrich
Jerry D. Vanier Trust
P.O. Box 1562
Salina, KS 67402-1562
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
PLEASE RETURN YELLOW COPY WITH PAYMENT
094-19-0-40-02-012 1728 S. Marym uni Road
STATEMENT FOR 2003 RURAL FIRE CONTRACT
January 1, 2003 through December 31, 2003
Category Type Percent Value Mill Lew Amount
Land Residential 30.0% X $900.00 X 0.01773 = $4.79
Land Residential 11.5% X $2,500.00 X 0.01773 = $5.10
Buildings Residential 11.5% X $264,160.00 X 0.01773 = $538.61
Amount Due: $548.49
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 2
Amount Paid: � /` � Receipt No.: `7 05
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Received By: Date Received: