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<br /> <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO,: C-81-022 <br />C,O. NO,: N/A <br />N,O.V, NO,: C-91-013 <br />I hereby certify that I served a cony 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 September 6, 1??1. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <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(81. <br />Certified Mail No.: P 666 57? 3a9 <br />Return Receipt Requested <br />Carry P, Routten, Assessment Officer <br />Print Name and Title <br />Operator <br />-'---- ,7~'gnature <br />Date <br />_. lq._. <br />LPR/ern <br />8033F <br />