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C `y., <br />rim ~ ~~ n ri I-iLl illYl.~IRHI1Vl~ <br /> <br />r.,~.~ <br />~~ <br />• <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-038 <br />C.O. NO.: N/A <br />N.O.V. ND.: C-92-007 <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 />Coiorado, addressed to the operator at the address above, on June 29, 1992. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Ma11 No.: P 660 170 712 <br />Return Receip~ft~ Req~ues~ted~ <br />~~~`L (S/ 1~ e ) <br />Larry~P. Routten, Assessment Officer <br />Print Name and T1tle <br />REQUEST FOR CONFERENCE <br />cy,~,e~s a2cl~gRD v~a~ `/ <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 />(Sign ure) <br />Date ~ 19~~ <br />LPR/bow <br />3862E <br />