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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977304 <br /> Pete Lien &Sons, Inc. Receipt#: 22229 <br /> Clint Beck Date: 09/23/2016 <br /> P.O. Box 440 <br /> Permit: M1977304 <br /> Rapid City SD 577090440 <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 /> REC IVZO <br /> SEP 2 2 2016 <br /> cIVISIOM OF R�tC IN!1014, <br /> 7, 1 <br /> Page 1 of 1 <br />