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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2015028 <br />Teton Drilling Inc. <br />Mike Jones <br />PO Box 550 <br />Henderson CO 806400000 <br />Receipt #: <br />Date: <br />Permit: <br />23608 <br />06/01/2017 <br />M2015028 <br />V <br />UMN Z <br />4�-X�Wall M" <br />Check #5019 4300-MAFO Minerals Annual Fees $172.00 <br />User: sdt <br />Payer: Mikes Portable Welding Mikeal D. Jones <br />Due 6/2/17 <br />Receipt Total: $172.00 <br />Page 1 of 1 <br />