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MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-014 <br />C.0. NO.: <br />N.O.V. NO.: C-91-029 <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 />Certified Mail No.: P 860 179 224 <br />Return Receipt Requested <br />~~ (S(S1~) <br />Larry P. Routten, Assessment Officer <br />Print Name and Title 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 />tau F~~S God. L~c~ <br />~ ~ <br />Operator <br />BY ~~ <br />(Signature) <br />Date Feb ZO 19~~ <br />~~~~~~ IL ~.J <br />LPR/bjw <br />1164E <br />E6 2 4 1997 <br />Mined Land <br />~P.rl~ma}jpn I~iyi~p.~n <br />