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r <br />i <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO,: C-80-003 <br />C.O. NO.: <br />f n ;._ t./ ~ ~ tiJ L..J <br />DEC 3 ~S~C <br />Mined Land <br />Reclama'ion Div~ion <br />N.O.V. NO.: C-90-045 <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 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 November 21, 1990. <br />Certified Mail No.: P 427 450 647 <br />Return Receipt Requested <br />----- --- J~.~ G~-- <br />gnature of Person erved Signature <br />if personal service <br />James C. Stevens, Assessment Officer <br />Print Name and Title Print Name and itle <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(81, <br />`~Ooer~a/t/o/~r_ <br />TSigna ure <br />Oate ~~~Z7- 190 <br />~~ <br />JCS/yjb <br />1576E <br />