Laserfiche WebLink
.' III III III IIIIIII III <br />>s <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />C.O.NO. C-84-167 <br />RECEIVED <br />~7' <br />D€C/© ~9e4 <br />MINED LAND R€CLAMATIDN DIV1810N <br />Colo. Dept. of Netunl Raeources <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT <br />OF CIUIL PENALTY on the operator therein described by _(a)* personal service <br />upon the operator or its representative at , <br />Colorado on 19 or XX b by depositing a true <br />copy thereof first c ass postage prepaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on AISV Z/ , <br />19~. <br />Certified Mail No. P 652 674 440 <br />T$~gnatuCre <br />Michael S, Savage <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 />g v ,~C.ti"~ <br />Y <br />t ignature) <br />Date ~G~ -' lg~/ <br />(1/83) <br />Doc. No. 251 <br />