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.. <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-039 <br />C. O. NO.: N/A <br />N.O.V. NO.: C-91-002 <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 May 24, 1991. <br />Si gnaUire of Persm Served <br />if personal service <br />Print Name and Title <br />Certi fied Mail No .: P 427 345 125 <br />Return Receipt Requested <br />Jai-wz~ G 5~~~~ <br />(Signature) <br />James C. Stevens, Assessment Officer <br />Print Name and Title <br />REQUEST FOR CONFERENCE <br />Operator <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />By <br />(Si gnature <br />Date 19 <br />JCS/ ern <br />584 8F <br />