ENFORCE26741

• Permit No: C1984065
• IBM Index Class Name: Enforcement
• Doc Name: CERTIFICATE OF SERVICE
• Violation No.: CV1989016
• Media Type: D
• Archive: No

• •
III IIIIIIIIIIIIIIII
MINED LAND RECLAMATION DIVISION
CERTIFICATE OF SERVICE
PERMIT NO.: r_R4..n65
C.O. NO.:
N.O.V. NO.: C-89-016
I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT
OF CIVIL PENALTY on the operator therein described by (a)* personal service
upon the operator or its reepresentative at ` Colorado
on 19 or XX (b)* y epos ing a rue copy thereof
first c ass pos age prepaid in the Unr ed States mails at Denver..,-Colorado,
addressed to the operator at the address above, on June Z$ Y~ 19 84 .
ignature o erson rve
if personal service
rrn ame an i e
Certified Mail No.: p_175 901 733
Return Receipt a ues e
r
~gnatu
Michael S. Sava a Assessment Officer
riot ame an it e
* ---- Check applicable method of service.
REQUEST FOR CONFERENCE
The operator above described hereby requests an assessm-~ or settlement
conference as permitted by C.R.S. 34-33-123(8).
Operator
By
ignature
Date
19
11/88
0311 (f )