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<br />RECEIVED <br />oec ~a~9eo <br />MINED LANO RECLAMATION DIVISION M1NFD <br />Colo. DeND RECLlA11TIOW ~IVh419N <br />CERTIFICATE OF SERVICE pt of Natural Regep~a46 <br />C.O. No, C-84-168 <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 _(a}* person at service <br />upon the operator or its representative at , <br />Colorado on 19 or XX b by depositing a true <br />copy thereof trsL c ass postage prepaid inn the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on ~tbdpw/,~l?, Z! , <br />19~: <br />Certified Mail No. P '652 674 440 <br />Signature <br />Michael S. Savaoe <br />Name Printed <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. 34-33-1Z3(8). <br /> <br />Operator <br />BY ~ ~~~ .cK .~ <br />nnrr ~tgnaturel ~/L/ <br />Date ~L,~C ~(~ 1 gf3-/ <br />{1/83) <br />Doc. No. 251 <br />