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~~~ p J~5}1 <br />RECEIVED <br />DEC 2 2 1994 <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.:C-81-012 <br />C.O. NO.: <br />N.O.V. NO.:C-94-034 <br />Division or ~vunerais a Geology <br />I hereby certify that I served a copy of the foregoing NOTICE OF <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 December 15, 1994. <br />Certified Mail No.: P 296 608 331 <br />Return Receipt Requested <br />Signature of Person Served (Signature) <br />(If personal service) <br />^.~ ~ ~~Z~ Larry P. Routten, Assessment Officer <br />P int t~ me an Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment <br />conference as permitted by C,k.S. 34-33-123(8). <br />~j/rS.•,• (ZPs~J.2ePS <br />Operator <br />i <br />By <br />( ignature) <br />Date /y~ ~ ~ 19~ <br />