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i <br />• <br />CERTIFICATE OF SERVICE <br />I hereby certify that I served a copy of the foregoing NOTICE OF ORDER TO PAY <br />FIXED PENALTY on the operator therein described by depositing a true copy <br />thereof first class postage prepaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on November 6, 1992. <br />Signature of Person Served <br />if personal service <br />Certified Mail No.: P £384,733 431 <br />Return Rece_ i~t Retlues~d <br />i% ~/;-~- <br />Signature ' <br />7° Stephen Wathen, Reclamation Specialist <br />Name and Title (Please print name and title) <br /> <br />S CNDERte items 1 and/or 2 for additional ~ ices. I also wish to receive N'.e <br />• Complete items 3. and 4a & b. `/ following srrtvices (for an extra <br />• Print your name and address on the reverse of this form so feel: <br />that we can return this card to you. <br />~ ~ ^ Addressee's Address <br />• Attach this form to the front of the mailpiece , or on the <br />back if space does not permit. <br />" <br />" <br />^ Restricted Delivery <br />~ <br />~ <br />on the mailpiece next to <br />• Write <br />Return Receipt Requested <br />the article number. ~ Consult postmaster for fee. <br />3. Article Addressed to: 4a. Article Number <br /> P B ~0 733 ~/3 / <br />~M P~12.E ~P2-p <br />t/P(Z.1-~5 <br />G 4b. Service Type <br />p <br />/ <br />/ • f7 ~ QOx tPg <br />!-~ ^ Registered ^I Insured <br /> Certified ^I COD <br />~j <br />S FN/ b j w l...IQ R I fir, C O O ~~~- 6 ^ Express Mail [I Return Receipt For <br />5333F Merchandise <br /> of D <br />el <br />ivery <br />7. Date <br /> g <br />~ <br />y <br />5. Sipnajure 1 ddre Seel 8. Addressee's Address (Only if requested <br />/(, (~ and fee is paid) <br />6. Signature (Agent) <br />RS Form 3 11, October ~ 990 eu.s. coo: tseo-spa-eet DOMESTIC (RETURN RECEIPT <br />