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.~ .. <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.O.V. N0. C-84-049 <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 ~ o)* by depositing a true <br />copy thereof first class postage prepaid in the United States m~ils,at Denver, <br />Colorado, addressed to the operator at the address above, on '0~• ~ 3 , <br />19~. <br />Certif'ed Mail No. P 397 149 18 <br />^` <br />- / igna ure <br />Robert G. Liddle <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 />By <br />Signature) <br />Date 19 <br />(1/83) <br />Dac. IVO. 251 <br />