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`r ' • • <br /> <br />I r~?reoy certify that I ;-~rv.d.a coot' of the for2;oin~ <br />q~TICE 0r P2~PpScD anOJ'iT ~F CI'Jll Pt•~aCTY on the operator <br />Lnzr2in ileSCriped pt' ______(a)= personal s?rvice uoon the <br />operator or its r?fir?sentative at _______________________ <br />-------------------------. Colorado on __, <br />---------- --- <br />19___, or __X__(b)= oy C?positing ~ trua copy thereof first <br />class postage arapaid in the United States mails at ienver. <br />Coloraao. ~ddras?d to the op•>r~tor at the a~]dress abOVe, on <br />September 22________, I9_81 __-- ~': <br />~ ~' <br />Si~natur? <br />Robert G. L.iddle, Reclamation Specialist <br />------------------------------------------ <br />~ame Printed <br />- -- Check applicable ~nechod of sarvice. <br /> <br />The op?rator aoove described hereby r?quests an assess- <br />nant or s?Ltle~nent conFerenc? as permitted by~C.R.S. 34-?3-1231°-)• <br />_ ~'~i~ 1 ~ ' _.._ I <br />Operator <br />1/ ~' <br />(Si~natur2) <br />t <br />~~;~ <br />Date /_/_.f~~ -~`----------' 19_'1 <br />CVR/C'•aO~JS/LCE <br />