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Pete Lien & Sons, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004013 <br />Receipt #: 11624 <br />Date: 10/18/2011 <br />Permit: M2004013 <br />Paymrent Method Revenue Code <br />Fee Description /Notes Amount <br />192017 <br />4300 -12 <br />Minerals Temporary Cessation <br />M- 2004 -013 <br />$144.00 <br />Receipt Total: I $144.00 <br />Page 1 of 1 <br />