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III IIIIIIIIIIIIIIII <br />999 <br />MINED LAND RECLAMATION DIVISION <br />j CERTIFICATE OF SERVICE <br />N.O.V. N0. 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 thereo first c ass postage prepaid in tthe Uni'~ 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 />.~ <br />< <, <br />/11~, ac ~~ ~~czc,~ ~~ <br />Signature <br />Plichael 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 /> <br />Operator <br />-~ <br />By ~ L O'l.zc~ / ) L'7<~~~~~~W <br />~$ignature <br />Date /;jJd ~~ 195 <br />(1/83) <br />Doc. No. 251 <br />