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iii iiniiiiiiiu iii <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT N0. C-048-81 <br />C.O. N0. <br />N.O.V. N0. r._A~_ro~ <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 _(a)* personal service <br />upon the operator or its representative at , <br />Colorado on 19 or X b * by epositing a true <br />copy thereof first c ass postage prepaid in the Unite States mails at Denver, <br />Colorado, addressed to the operator at the address above, on September 13 , <br />19~. <br />ignature o erson erve <br />if personal service <br />Print Name and Title <br />Certified Mail No. P 068 282 726 <br />Return Recei t R queste <br />~` <br />igna ur <br />Michael S. Savage -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 />~. <br />~' °F. <br />+v~~~vr~ L.4'4I~ <br />RECLAMATION C;IVISIC^~ <br />(5/85) <br />Trinidad Basin Mining, Inc. <br />Operator <br />-~ <br />`f ~ ; _ ~ ,: <br />Signature <br />Date September 23 19 85 <br />Doc. No. 251 <br />