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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985038 <br /> Pete Lien&Sons, Inc. Receipt#: 22228 <br /> Clint Beck Date: 09/23/2016 <br /> P.O. Box 440 <br /> Permit: M1985038 <br /> Rapid City SD 577090000 <br /> MethodPayment Revenue Code . . . Amount <br /> Check#250573 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 9/22/16- Fee only rec'd. <br /> Receipt Total: $791.00 <br /> RECEIVED <br /> sEP 22 2016 <br /> Di OF RECLAMATION, <br /> SAFETY-MINERALS <br /> p PORT MAP FW <br /> I <br /> Page 1 of 1 <br />