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<br />CERTIFICATE OF SERVICE <br />I hereby certify that I served a copy of the foregoing NOTICE OF ORDER TO PAY <br />FIXED 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 June 4, 1993. <br />Signature of Person Served <br />if personal service <br />Name and Title <br />Certified Mail No.: P 179 167 040 <br />Re rn Re elpt R quested <br />Signature <br />C.E. Johnston, Reclamation Specialist _ <br />(Please print name and title) <br /> <br />ENDER: <br />• CpmpNt• item. 1 •ne/« z ror •dditicnM arvic•s. I also wish to receive the <br />~ • Cowglete items, 3, erW Ie a b. <br />•"• Print your nem•.and~•tldr•ss on the reverse ot~this form so the[ we can <br />~a following services Ifor en extra ~ <br /> <br />feel: m' <br />•Y' <br />return this card to you. •• t , <br /> <br />~ • Anach this form to the Iron[ of the meilpiece, or an the back i <br />does <br />ot <br />ermit <br />t apace <br />'i. ^ AddreeaeB'S Addre55 or <br />y <br />n <br />p <br />. <br />' O . Write "Return Recai tRe ueeta 'on the mail ace below the arti <br /> <br />9 v+ <br />° ° cle number. <br />2. ^ Restricted Delivery - ~6 <br /> <br />, <br />• The Return Receipt will show to-ylwm the article was tlelivarad e <br />' ntl the date V <br />. ~ <br />c deliveree. Consult ostmester for tee. o <br />v 3. Article Addressed to: 4a. Article Number <br />i ^' <br />~ P 17 `( 6 7 OYD <br />Q-'Q~RO R. C/`2P <br />~ ~ 4b <br />Service T <br />e <br />. <br />E . <br />yp ~ <br />~~ ~ B '+~ I ~ W^ <br />• ~G <br />CV f ~~ ^ Registered ^ Insured <br />i] <br />1 <br />^ <br />~ <br />y <br />t L <br />Certified <br />COD . <br /> <br />PAd IV I /~ ~ $ /~/'~$ ^ Express Mail ^ Return Receipt for <br />Merchandise ~ <br />~ <br />CEJ~SCg D 7. Date of Delivery w <br /> <br />7652E ¢ 5. Signature (Addressee) 8. Addressee's Address (Only if requested ,r <br />~ and fee is paid) ~ <br />W <br />6. Sig re IAg tl <br />~ <br /> <br />PS Forme ; Decatrltldr 1 tp. ,o.: C M RECEIPT <br /> <br />