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<br />~II ~I~~~~~I~~~~~~~~ <br />sss <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-i31-014 <br />C.O. NO.: <br />N.O.V. NO.: C-91-034 <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 February 5, 1992. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 860 179 224 <br />Retur7n~Receipt~Rlequested <br />54?~/1rtif~U' ~~~ti~i~~ <br />(Signature) <br />Larry P. Routten, Assessment Officer <br />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 />~ w ~ls ~oec~.. /.u. <br />~T <br />~~~C~~y ~~ Operator <br />~EB24t9g9 By (Signature) <br />Mined Land <br />cZprlamat~^" ~ ~ Date ~',~ l0 19~L <br />LPR/bjw <br />1173E <br />