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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995057 <br />812390000COParlin <br />5291 CR 76 <br />Deb Rudibaugh <br />Receipt #: <br />06/27/2018 <br /> 26957 <br />Date: <br />M1995057Permit: <br />Deb Rudibaugh <br />Fee Description/NotesRevenue CodePayment Method Amount <br />Cash $500.00 5700 Minerals Civil Penalty/Violation Fines <br />User: MSR <br />Infraction Number: MV2018013 <br />$500.00 Receipt Total: <br />Page 1 of 1