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• mr <br />~ ~ ~ ~~~ ~ . <br />LENIlEtLal;:_~E_~LRYlGE <br />I r~dreoy certify that I ;~~rvNd a copy of the for?going <br />:~%TICE OF PP w pS~J aMOU'ri ~F C:`/IL PE~lALTY on the operator <br />tn2r din ~eSCri,~dil Jy ______(.i)~ p?r50nal Service u7on the <br />op2ratur cr its r?aresentative at ________________________ <br />----------- ------- -----r Colorado cn ---------------' <br />19___r or _~_(u)~ oy tlepositi.ny .j true copy thereof first <br />class postage arapaiU .n the UniteU Statds 'nails atvenver. <br />Co ra~o, ~d/U?ras•=~ to tpph/~ o~~~r~tor at [he a~fOre55 above, on <br />Sign turn <br />--~~r_~_ ~ e`~r~?~------------------- <br />Vame Printetl <br />-- Check applicable in?thod of service. <br />3~S1!!ES_T_EQ__L1'~F s3~_rLE <br />ihd operator aoove describ?d hereby requests an ass?55- <br />r?nt or s?ttldm?nt conference as oerinitted by G.R.S. 34-?3-123(°,). <br />- --------- CO------------- <br />~perator <br />By-- --- ~-- ~~ ------------- <br />(Signa re) <br />Date ____ 2 __%J____ <br />r 19 _ 8/ <br />CVR/L'••IOUJS/ 1CF <br />