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<br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-041 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-91-021 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PRGPOSED AMOUNT <br />OF CIVIL PENALTY on the operator therein described by depositing a true copy <br />thereof first class postage prepaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on October 24, 1991. <br />Certified Mail No.:~t375 312 678 <br />Return Receipt_ge~}tre~s-ted <br />Signature of Person Served ,, gnature <br />if personal service <br />David A. Berry, Sr. Reclamation Specialist <br />rint Name and Title Print Name and Title <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 />Operator <br />By <br />(Signature) <br />Date <br />19 <br />DAB/ern <br />8951E <br />