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MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-014 <br />C.0. NO.: <br />N.O.V. NO.: C-91-037 <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 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 February 5, 1992. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 860 179 224 <br />Return Receipt~/Requested y~ <br />i~~i~///- .~!cizG-e~G"~/!-rte <br />'T (Signature) <br />Larry P. Routten, Assessment Officer <br />Print Name and Title <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 />~~G°~~ ~9 ~,~,J Operator <br />= EB 2 4 19Q? 8Y C~ <br />(Signature) <br />Mined Lana <br />ge~lamaiin.. ~~. <br />Date ~e,b zo 19~Z <br />~bjw <br />F <br />