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~~ <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE Of SERVICE <br />N.O.V. N0. C-84-076 <br />• ~iiii iiiii iiiiiiiii <br />999 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT <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 b * by depositing a true <br />copy thereo irs c ass pos age prepaid in the Uni~e~ States mails at Denver, <br />Colorado, addressed to the operator at the address above, on June 12 __, <br />19 84. <br />Certi d lail N P 3q7 149 33 <br />Signature <br />Robert G. Liddle <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 />~LUE 12 ~pvora GDAI. CEO MPAN~( <br />Operator <br />8Y W~l~- ~. ~~ <br />~~ignature <br />Date .' ~ N (_ 2 Z 19~ <br />(1/83) <br />Doc. No. 251 <br />