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<br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-048 <br />C.O. NO.: <br />N.O.V. NO.: C-92-019 <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 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 September i0, i992. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 880 733 299 <br />Return Receipt Requested <br />~~~ ( S i/ <br />Larry P. Routten, Assessment Officer <br />Print Name and Title <br />* ---- Chec,< applicable method of service. <br />REQUEST FOR CONFERENCE <br />The ope~aror above described hereby requests an assessment yr se:tlame~t <br />conference as permitted by C.R.S. 34-33-123(8). <br />C,'G2ratGr <br />~ ~i <br />Data <br />(Signa~~r=; <br />19 <br />LPR/yjb <br />4783E <br />