Laserfiche WebLink
iii iiiiiiiiiiiii iii <br />999 <br />MINED LAND RECLAMATION D N ISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-047 <br />C.O. NO.: <br />N.O.V. NO.: C-89-008 <br />MSH <br /> <br />c'~Y c~ I~~9 <br />L <br /> <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)* personal service <br />upon the operator or its reepresentative at Colorado <br />on 19 or XX (b)* y epos rng a rue copy thereof <br />firs c ass pos age prepaid in the Unr ed States mails at Denver, Colorado, <br />addressed to the operator at the address above, on April 27 ~ 19 89 <br />Certified Mail No.: P 767 445 663 <br />Return Rec~eip Re`ues~e <br />~/' <br />ignature o erson rve rgnature <br />if personal service <br />Michael S. Savaqe Assessment Officer <br />rrn ame an i e rrn ame an rt e <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 />~/_t_l~ l/G"~i_) ~c7/~i Cur/IH4~if~ <br />Operator <br />/ ~gnature <br />Date ~ ~ 19~ <br />11/88 <br />0311 (f ) <br />