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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977002HR <br /> Colorado Lien Company Receipt#: 22226 <br /> Clint Beck Date: 09/23/2016 <br /> P.O. Box 440 <br /> Permit: M1977002HR <br /> Rapid City SD 577090000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount �Aa, <br /> Check#250573 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 9/16/16 <br /> Receipt Total:T. $791.00 <br /> Page 1 of 1 <br />