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iii iiiiiiiiiiiiiiii <br />999 <br />.MINED LAND RECLAMATION DIVISION <br />CEkTIFICATE OF SERVICE <br />N.O.V. N0. CV-84-028 <br />I Hereby certify that I served a copy of the foregoing <br />OF CIVIL PENALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 19 or ~ <br />copy thereof first class postage prepaid in the United <br />Colorado, addressed to the operator at the address abo <br />19 84. <br />NOTICE OF PROPOSED AMOUNT <br />____(a)* personal service <br />, <br />b)* by depositing a true <br />States mails at Denver, <br />re, on April F , <br />Certified Mail No. P 397 149 315 <br />S <br />(Signature <br />Michael S. Savage <br />Name Printed <br />* ---- Check applicable method of service. <br />REQUEST FUR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-3s-123(8). <br />Operator <br />By <br />Signature <br />Date 19 <br />(1/83) <br />Doc. No. Z51 <br />