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<br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE Of SERVICE <br />PERMIT NO.: C-81-012 <br />C.O. NO.: None <br />N.O.V. NO.: C-92-005 <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 prepaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on September 15, 1992. <br />Certified Mail No.: P 860 170 901 <br />Return Receipt Requeyl;9d <br />Signature of Person Served j ~ ture <br />if personal service / „ , <br />Print Name and Title Print Name and Title <br />lamation Soeciali <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 />gndLUr2 <br />Date <br />19 <br />DAB/scg <br />4839F <br />