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<br />.~ <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-048 <br />C.0. NO.: <br />N.O.V. NO.: C-91-009 <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 oreoaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on October 3, 1991. <br />Certified Mail No.: P 075 312 715 <br />Return Receipt Requested <br />Signature of Person Served ~ (Signature) <br />if personal service <br />Larry P. Routten, Assessment Officer <br />nt Name and Title 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(8). <br />Operator <br />By <br />(Signature) <br />Date 19 <br />LPR/yob <br />8580E <br />