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.~ <br />~f <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.O.V. NO. C-85-036 <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 b * by depositing a true <br />copy thereof trst c ass postage prepaid in the UntYed States mails at Denver, <br />Colorado, addressed to the operator at the address above, on May 23 , <br />19 85. <br />Certified Mail No. P 652 676 021 <br />~ ' ~ ~~~a~ <br />Signature <br />Michael S. Savage Assessment Officer <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 <br />(1/83) <br />19 <br />Doc. No. 251 <br />