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l <br />~a~ <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />File <br />~iX9I]! N0. C-81-015 <br />C.0. N0. <br />N.O.V. N0. C-88-032 <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 representative at , <br />Colorado on 19 or * by depositing a true <br />copy thereo first c ass postage prepaid in the Uni~ States mails at Denver, <br />Colorado, addressed to the operator at the address above, on ,7uly 14. , <br />19 88. <br />Certified Mail No. P 765 476 365 <br />Return Receipt Re e e <br />ignature o erson erve igna u <br />if personal service <br />Mike Savage Assessment Officer <br />Print Name and Tit a Print Name and fit 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 />Operator <br />By <br />Signature <br />Date 19 <br />(5/85) <br />Doc. No. 251 <br />