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<br />., <br /> <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-87-072 <br />C.O, NO.: N/A <br />N.O.V. NO.: C-91-010 <br />I hereby certify that I served a cony 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 September 6, 1941. <br />Signature of ?erson Served <br />if personal service <br />Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R,S, 3a_33-123(81. <br />Certified Mail No.: P 66b 579 352. <br />Return Receipt Requested <br />(Signature) <br />Larry p, Routten, Assessment Officer <br />Print Name and Title <br />ODeratOr <br />8y <br />7Signaturel <br />Date <br />l o... <br />LPR/ern <br />8035E <br />