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<br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT N0. C-81-022 <br />C.O. N0. <br />N.O.V. N0. C-87-012 <br />I hereby certify that I served a copy of the foregoing <br />OF CIVIL PENALTY on the operator therein described by _ <br />upon the operator or its representative at <br />Colorado on 19 or RR~ <br />copy thereo first c ass pos age prepaid i~he United <br />Colorado, addressed to the operator at the address abo <br />Signature o erson Served <br />if personal service <br />riot ame an i e <br />NOTICE OF PROPOSED AMOUNT <br />(a)* personal service <br />y eposrtTng a true <br />States mails at Denver, <br />ve, on June 12, 1987. <br />Certified Mail No. P 168 480 046 <br />Return Rec t equested <br />.~ <br />gnatur <br />Michael S. Savage, Assessment Officer <br />Print Name and Title <br />* ---- Check applicable method of service. <br />REQUEST FOR CONFERENCE <br />Operator <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />By <br />Signature <br />Date 19 <br />0445E <br />