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_ iii iiiiiiiiiiiiiiii <br />~~-~ ~~ 99e RECEIVED <br />MINED LAND RECLAMATION DIVISION DEC 101091 <br />CERTIFICATE OF SERVICE <br />MINED U-Np RECLAMAflON DIVIAION <br />N.D.v. No. c_Ra_~Fa Colo•Dept•ofN~tur~IRasourcot <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 ^(a)* personal service <br />upon the operator or its representative at , <br />Colorado on 19 or ~ b * by depositing a true <br />copy thereof irs c ass postage prepaid in the United States ils at Denver, <br />Colorado, addressed to the operator at the address above, on , <br />19~. <br />Certified Mail No. P 652 680 032 <br />Si nature <br />Susan Mowry <br />Name Printed <br />* ---- Check applicable method of service. <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 />,9%/) /) , <br />ignature <br />Date /,~ - =~ 19 3~~ <br />(1/83) <br />Doc. Na. 251 <br />