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'\ SC <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />C.O. N0. C-84-038 <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 _(a)* personal service <br />upon the operator or its representative at , <br />Colorado on 19 or X b * by depositing a true <br />copy thereo first c ass postage prepaid in tthe Unites States mails at Denver, <br />Colorado, addressed to the operator at the address above, on August. 10 , <br />19 84. <br />Certified Mail No. P 397 145 573 <br />Signature <br />David C. Shelton <br />Name Printed <br />* ---- Check applicable method of service. <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />Operator <br />By <br />Signature <br />h <br />Date 19 <br />Memo Attacfied <br />(1/83) <br />Doc. No. 251 <br />