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MIPJED LArJD RECLAr1ATI0r! DIVISIOrJ <br />CERTIFICATE OF SERVICE <br />PERI•tIT rJO. C-84-065 <br />c.o. rlo. <br />rJ.o.v. rJO. c-36-o66 <br />1 hereby certify that I served a copy of the foregoing <br />OF CIVIL PEPJALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 14 or ;(X <br />copy thereof first c ass postage prepaid in tthe Unitea <br />Colorado, addressed to the operator at the addrzss abo <br />19 86. <br />Signature of Ferson erved <br />if personal service <br />rIDIiCE DF PP.DPDSED Ai40UPJT <br />(a)* personal service <br />,b by depositing a true <br />States :nails at Denver, <br />ie, on July 16 , <br />Certifiad Mail too. P 063 233 0?7 <br />Return Receipt`//Requested <br />(Signaturz <br />i•lichael S. Savage Assess rent Gf`icer <br />Print !Jame and Title ;Tint ?lane .and Title <br />* ---- Check applicable method of service. <br />REDDEST =CR CoiJFE2cPJCE <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123;3). <br />Goerator <br />(spas) <br />F y, <br />(Signature) <br />Datz 19 <br />Dac. I'J0. 251 <br />