Laserfiche WebLink
<br />~• <br />~• ~ _ <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT N0. C-84-062 <br />C.O. N0. <br />N.O.V. N0. C-86-021 <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 (a)* personal service <br />upon the operator or its representative at <br />Colorado on 19 or K b * by depositing a true <br />copy thereo first c ass postage prepaid in the Unite States mails at Denver, <br />Colorado, addressed to the operator at the address above, on April 8 , <br />19~. <br />Certified Mail No. P 169 876 275 <br />Return Receipt Requeste <br />ignature o erson erve (3ign ure <br />if personal service <br />Michael 5. Savage, Assessment Officer <br />Print Name and Title Print Name and Tit 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 />Signature <br />Date <br />(5/85) <br />19 <br />Doc. No. 251 <br />