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<br />MINED LAND RECLAhIATION DIVISION <br />CE,~TIFICATE OF SERVICE <br />N.O.V. N0. 83-25 <br />I nereoy certify that I served a copy of the foregoing iJOTICE OF PROPOSED w-IOUWT <br />OF CIVIL PENALTY on the operator therein described by (a)* personal service <br />upon the operator or its representative at , <br />Colorado on 19 or x o)* oy depositing a true <br />copy thereof first class postage prepaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on ~// ~ , <br />19 ~> . <br />Certified Mail No. P 241 544 495 <br />Return Receipt Requested <br />(signature <br />Dan T. Mathews <br />Name Printed <br />* ---- Check applicable method of service. <br />REQUEST FOR CONFEREtJCE <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 />8y <br />Signature <br />Date <br />(1/83) <br />19 <br />Dac. No. 251 <br />