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<br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.O.V. N0. 83-32 <br />I hereby certify that I served a copy of the foregoing <br />OF CIVIL PENALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 19 or X <br />copy thereof first class postage prepaid in the United <br />Colorado, addressed to the operator at the address abo <br />19 II3. <br />NOTICE OF PROPOSED AMOUNT <br />(a)* personal service <br />b * by depositing a true <br />States mails at Denver, <br />ae, on December 28 , <br />Certified rMai~l-N~o. Pc~396 758 404 <br />Signatur <br />Michael S. Savage, Reclamation Specialist <br />Name Printed <br />* ---- Check applicable method of service. <br />REQUEST FUR 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 />Signature <br />Date ~}py.~Gaay. lv 19~ <br />Lv J <br />(1/83) ~Fli~ 1~ 1°~i~ <br />Doc. No. 251 <br />[:1!PI~D I AND RECLAMATION Di~11SI0N <br />Cdo. Dopt. of D!~turel Rcsoorces <br />