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MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: 81-039 <br />C.O. NO.: <br />N.O.V. NO.: C-91-003 <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 May 24, 1991. <br />Signature of Person~erved <br />if personal service <br />_. _ <br />Print Name and Title <br />Certified Mail No.: P 427 345 126 <br />Return Receipt Requested <br />~:~ Ce wt~r G ~ ~~~ _ <br />Signature <br />James C. Stevens, 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(81. <br />Operator <br />JCS/yjb <br />By <br />fSignaturel <br />Date -. 19 <br />5833E <br />