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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2003074 <br /> Rock-N-Pine LLC Receipt#: 22854 <br /> Mark Balderson Date: 01/30/2017 <br /> 503 Wise St. Permit: M2003074 <br /> Hamlet NE 690400000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#1229 4300-MAFO Minerals Annual Fees $323.00 <br /> B & B Sporting Goods LLC <br /> Due 02/05/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />