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r++ON3~~* • <br />/^~ • <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.:C-81-022 <br />C.O. NO.: <br />N.O.V. NO.:C-93-118 <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 September 15, 1993. <br />Certified Mail No.: P 296 527 489 <br />Return Receipt Requested <br /> <br />operator <br />Signature of Person Served a ure) <br />(If personal service) <br />Larry P. Routten. Assessment Officer <br />Print Name and T tle 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 />ay ~i~ ~,u ~ ~ L ~-~%.~ fcs~.:' <br />(Signature) <br />Date ~~~.-. 72 19 c,~ <br />f 'd LL:ZI f66['90'B[ 07 9WIWIW 135b3W05 WOi13 <br />