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i <br />CAM <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-80-005 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-89-024 <br />I hereby certify that I served a copy of the foreaoino NDTICE OF PROPOSED 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 Octooer 18, 1989. <br />Signature o erson Serve <br />if personal service <br />Print Name and it e <br />Certified Mail No .: P 767 447 090 <br />Return Receipt Requested <br />i1~~ SS~~ <br />l~ionatur <br />Michael S. Savage, Assessment Officer <br />rent ame an it e <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 />Operator <br />BY <br />ignature <br />Date 19 <br /> <br />MSS/YJb <br />0479E <br />