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III IIIIIIIIIIIII III <br />999 <br />MINED LAND RECL,aMA.TION DIVISION <br />CERTIFICATE Of SER`JICE <br />PERMIT NO.: C-81-041 <br />C.O. NO.: <br />N.O.V. NO.: C ~1-021 <br />.,\._ <br />I hereby certify that served a copy cf the foregoing NOTICE CF PROPOSED AMGUNT <br />Of CIVIL PENFL'Y •~n .he ODer'3tJr therein described by depositing a true cony <br />thereof first c~a;; postage prepaid in the United Stat25 mails at Cenver, <br />Colorado, addr~;;ed to the operator at the address above, on October 25, 1991. <br />Certified Mail No.: P 427 688 76J <br />Return Receipt Requested <br />Signature of ?er;o~~ Served <br />if personal service <br />Print Name and Title <br />gnature <br />1~(ily1J1 ~~~ . 7ZY~/~'~LINM// -" yPCC/N ~~r/ <br />Print Name and Tit e <br />REQUEST FOR CONFERENCE <br />Tne operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />Powderhorn Coal Company <br />Operator <br />B ~ ~ <br />(Signature) <br />Date h - r~ ~ 19~ <br />DABJSCg <br />8968E <br />