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~~~ ~~~~~~~~~~~~~~~~ ~J <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />/~ <br />PERMIT NO.: 76/60/UG/;C-81~845~ <br />N.O.V. NO.i~91-007 <br />~il~ <br />~~-;~~ <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 bydepositing 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 August 13, 1991. <br />~l~~'IZ~G~w .S~~GE-.11 Certified Mail No.: P 666 579 305 <br />Return Receipt Requested <br />L v i~ c-. Go ~,~ ~~~ y ~ <br />Signature of Person Served ~" (Signature) <br />if personal service <br />J. % , Cr' ~ ~ ,foh <br />Print Name and Title Larry P. Routten, Assessment Officer <br />Iii /wis+t <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 /> <br />Operator <br />gy ~i (/L ~~~., <br />(Signature) <br />Date P/e~ ~ Cf/~ <br />19 <br />CLM/eke <br />7598F <br />