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<br /> <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />h~~tl rW ~...~ <br />EB 2 6 199? <br />Mined Land <br />~a..lo..,~rinn n:. .: . <br />PERMIT NO.: ~- kl - ~~r <br />C.O. NO.: <br />N.O.Y. NO.: ~-9.~ _ pn,2 <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 ___ <br />en '" F~)~ by depositing a true copy thereof <br />firs c ass pos age prepaidin the ni ed States mails at Denver, Colorado, <br />addressed to the operator at the address above, on FP/, /~ 19~Z <br />ignature o erson rve <br />if personal service <br />rin ame an i e <br />Certified Mail No.: P ~~cl Ski ~y6 <br />Return Receipt Reques e <br />'~'~'~~i gna re <br />L 4 rry ~~o,.~fr~ ~5r sf pssrrrrr f ~{ii Er <br />rPi n~Ra~me a~Ti fTe` <br />* ---- Check applicable method of service. <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement'1~~~~ <br />conference as permitted by C.R.S. 34-33-123(8). <br />05/90 <br />0311 (f) <br />~r/ ~~ Operator <br />ay Il4- <br />igna re <br />Date 2 Z ~ 19~ <br />