Laserfiche WebLink
MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C~DC% -i7G/ <br />C.O. NO.: ~J / q <br />N.O.V. NO.: L~ ~73 OZ~ <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 sona se 'ce <br />-en - 1°-, or ~ (b) y eposi ing a rue copy ttiereof <br />firs c ass pos age prepaidin the~ed States mails at Denver, Colorado, <br />addressed to the operator at the address above, on r y~s3 191. <br />Certified Mail No.: <br />Return Receipt Requeste <br />ignature o erson rve igna re <br />if personal service <br />,11 ~l ~~~ <br />r n ame an i e ~r~' ame~an~"T Lt e <br />* ---- Check applicable method of service. <br />REQUEST FOR CONFERENC-c <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 />tgna re <br />Date 19 <br />05/90 <br />0311 (f) <br />