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Pete Lien & Sons, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977304 <br />215733 14300-11 1 Minerals Technical Revision <br />M- 1977 -304, cmb <br />Receipt #: <br />Date: <br />Permit: <br />15897 <br />09/04/2013 <br />M1977304 <br />$216.00 <br />Receipt Totai: 1 $216.00 <br />Page 1 of 1 <br />