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~. <br />CERTIFICATE OF SERVICE <br />I hereby certify that I served a copy of the foregoing <br />FIXED PENALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 19 or ~(b)' <br />copy thereof first class postage prepaid in the United <br />Colorado, addressed to the operator at the address abo~ <br />19~ <br />Signature of Person Served <br />if personal service <br />Name and Title <br />complete (a) or (b) as applicable. <br />(4/88) <br />NOTICE OF ORDER TO PAY <br />_(a)' personal service <br />by depositing a true <br />States mails at Denver, <br />CERTIFIED MAIL N0. ~ 8$O "~3`I 03~ <br />Return Receipt Requested <br />w, <br />Sign ture <br />~Q n~~ 11_. dJ_~nn 5. _ T~Q~`ci ri~4-l~~~'/'\y~L'C:<y lS~ <br />(Please print name and title) <br />Doc. No. 0257E <br />