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= ': <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.O.V. N0. 83-25 <br />I hereby certify that I served a copy of the foregoing <br />OF CIVIL PENALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 19 or X <br />copy thereof first class postage prepaid in the United <br />Colorado, addressed to the operator at the address abo <br />19 83. <br />NOTICE OF PROPOSED AMOUNT <br />~(a)* personal service <br />, <br />bJ* by depositing a true <br />States mails at Denver, <br />re, on September 9 , <br />Certified Mail No. P 241 544 686 <br />ignature <br />Brian E. Munson, Sr. Reclamation Specialist <br />Name Printed <br />* ---- Check applicable method of service. <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />Operator <br />By <br />Signature <br />Date 19_ <br />(1/83) <br />Ooc. No. 251 <br />