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iiiiiiiiiii <br /> RECEIVED <br /> MAY 21 1993 <br /> MINED LAND RECLAMATION DIVISION <br /> Division of Minerais&Ueoioyy <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. :C-81-012 <br /> C.O. NO. : <br /> N.O.V. NO. :C-93-063 <br /> I hereby certify that I served a copy of the foregoing NOTICE OF <br /> PROPOSED AMOUNT OF CIVIL PENALTY on the operator therein described <br /> by depositing a true copy thereof first class postage prepaid in <br /> the United States mails at Denver, Colorado, addressed to the <br /> operator at the address above, on May 17, 1993 . <br /> Certified Mail No. : P 179 166 470 <br /> Return Receipt Requested <br /> nhY <br /> Signature of Person Served (Sig ature) <br /> (If personal service) <br /> Larry P. Routten, Assessment Officer <br /> Print Name and Title Print Name and Title <br /> REQUEST FOR CONFERENCE <br /> The operator above described hereby requests an assessment <br /> conference as permitted by C.R.S./�34-33-123 (8) . <br /> 2 i5L4 P.Sou <br /> � 00 Operator <br /> By 2/� <br /> (Signature) <br /> Date U 19-U <br />