Laserfiche WebLink
<br /> <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-B1-015 <br />C.0. NO.: N/A <br />N.O.V. NO.: C-91-038 <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 January 21, 1992. <br />Certified Mail No.: <br />Return Receipt Regt <br />Signature of Person Served <br />if personal service <br />r <br />David A. Berry, Senior Reclamation Specialist <br />Print Name and Title 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(8). <br />Operator <br /> <br />By <br />Date <br />(Signature <br />19 <br />DAB/ern <br />0640E <br />