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~ C. <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE ~~CE~ <br />PERMIT NO.:C-81-026 NQ(/ ~FQ <br />C N O VO N0.: C-94-026 , /Y~S~~~ 1~ 19~( <br />v//~'/nP~a~sd <br />G <br />I hereby certify that I served a copy of the foregoing NOT~~ F <br />PROPOSED AMOUNT OF CIVIL PENALTY on the operator therein described <br />by depositing a true copy thereof first class postage prepaid in <br />the United States mails at Denver, Colorado, addressed to the <br />operator at the address above, on November 3, 1994. <br />Certified Mail No.: P 296 608 168 <br />Return Receipt Requested <br />Signature of Person Served Si nature) <br />(If personal service) <br />Larry P. Routten, Assessment Officer <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment <br />conference as permitted by C.R.S. 34-33-123(8). <br />S~.~rr., (~rn~~aT.D.. <br />operator <br />Signat e) -I <br />Date /y 0 ~ °~ , 19~'~ <br />