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^. <br />., <br /> <br />I <br />III IIIIIIIIIIIIIIII <br /> <br />• RECEIVED <br />MAY 2 9 1931 <br />MINED LAND RECLAMATION-COAL <br />COLO. DEPT. OF NATURAL RE5O'.iRCES <br />I hereoy certify that I s•'r ved •a coot' of the for2cJoin') <br />'ri,iICE OF P2JPpSED aMCu'JT „F CI'JIL PE"JaLTY on the operator <br />cnarein Llescriuad by ______(a)~~ personal service uporytne <br />operator cr its re;,resentative at ________________________ <br />------------------ - -___-. Colorado cn <br />---------------- <br />19___r or _ ~_(~)~ pt' depOSi ti.ig 3 true Copy thereof flr;t <br />class postay= praaaid in the United States 'nails at Denver. <br />LOiOrau"o• ~ddrzs•_d to the ODD'-r]tOr at the a~]tlre55 above, on <br />----------~Y --?~ + 19_81 , <br />CERTIFIED MAIL l~ P20 1401529 <br />----- -------- <br />Si~natura <br />°_ t~I~HAEL S. SAVAGE ------------------------ <br />------- <br />^lame Printetl <br />• -= Check applicable method of service. <br />3~S1~1.SI_E43_G1~_JEr3s~L!< <br />The operator above described hereby r?quests an assess- <br />ment ~r settlement conferenc< .as permitted by G.R.S. 3~-33-123(:). <br />'?perator <br />(Si3natur2) <br />D a t e -=I , 1 ~~- ~-~---------, 19 ~~- <br /> <br />