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<br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVIf,E <br />PERMIT NO. C-81-022 <br />c.o. No. <br />N.O.V. N0. C-87-021 <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 July 15, 1987 <br />ignature o erson erve <br />if personal service <br />rent ame an it e <br />Certified Mail No. P 168 477 456 <br />Return Receipt qu t <br />Q <br />i ure <br />Michael S. Savage - Assessment Officer <br />rent ame an it e <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 />By <br />Date <br />gna <br />19 <br />1065E <br />