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• • III IIIIIIIIIIIIIIII <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-84-065 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-90-032 <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 August 21, 1990. <br /> <br />igna ure o erson erve <br />if personal service <br />rin ame an ~ e <br />Certified Mail No.: P 427 450 581 <br />Return Receipt Requested <br />igna ure <br />James C:-Stevens, Assessment Officer <br />rin ame an i e <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 />Operator <br />gy ~ - - - - -- ----------- - <br />igna ure <br />Date ----- - - ----- --- - ----...~ 19. . <br />JCS/ern <br />9586E <br />