Laserfiche WebLink
,~ <br />•~ <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />C.O.W,9,u, N0. C-85-013 <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 XX b * by depositing a true <br />copy thereo irs c ass postage prepaid in the Unit 3 States mails at Denver, <br />Colorado, addressed to the operator at the address above, on , <br />19 <br />Certified Mail No. P 652 676 417 <br />xA ~, ~~~~ <br />Signature <br />Brian F_ Mnnson_ Saninr Rarlamatinn Srpriali5t <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. 34-33-123(8). <br /> <br />Operator <br />BY _: ra; X/_: <br />~Signature~~ <br />Date ?'r? ati :t 7 19 1S <br />(1/83) <br />Doc. No. 251 <br />