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•!~ • • <br />f <br />x~K~_I_IS.aTi-1F_3~~~'~l~ia <br />I hereUy Certify that I ,arv~d a coo/ of tJie fora;oin; <br />,vi,f[CE ~F P?JPi]ScD ar',C~'!T %F CiV1L PE"laLTY on the operator <br />[Herein descriu?V Uy ______(~)~° persUnal service uOpn tne• <br />OD~rdCUr Gr its r?Nrc~Sentative at ________________________ <br />19___, or __xx-(U)~° by repositinc; -~ tru2 copy ther:~of f~r;t <br />class postay= ,~r~Gaid in the UnitcJ States rails -~t i,enver. <br />COlOrduO, adUrdsatl t0 th? Op•dr3tOr at Lhe a~]d r~?55 abUVd, On <br />____September-_15__, la&1_, <br />Certified Mail N 237023 <br />Return Receipt Requested <br />Signature <br />___Fiic~~~j S._Sa v_ag e______ <br />Aldine Printed <br />• -- Check applicable ~nethod of servic?. <br /> <br />The oG?rator .aoove described ner~by requests an ass~ss- <br />~nent or settlement conference as permitt_n by C.R.S. 34-'_3-123(=). <br />--- - -------------------- <br />~perator <br />gy-------------------------------------- <br />(Siynatur2) <br />Cate --------------------. 17---- <br />CYR/t~•~C~JS/1CE <br />