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C <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.:C-81-026 <br />C.O. NO.: <br />N.O.V. NO.:C-94-026 <br />I hereby certify that I served a copy of the foregoing NOTICE OF <br />PROPOSED AMOUNT OF CIVIL PENALTY on the operator therein described <br />by depositing a true copy thereof first class postage prepaid in <br />the United States mails at Denver, Colorado, addressed to the <br />operator at the address above, on November 3, 1994. <br />Certified Mail No.: P 296 608 168 <br />Return Receipt Requested <br />1.~ /1 ' ~~f/'riL(///Ci <br />Signature of Person Served Si nature) <br />(If personal service) <br />Larrv P. Routten. Assessment Officer <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment <br />conference as permitted by C.R.S. 34-33-123(8). <br />Operator <br />By <br />(Signature) <br />Date 19_ <br />