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MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-014 <br />C.O. NO.: <br />N.O.V. NO.: C-91-033 <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 February 5, 1992. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 860 179 224 <br />Retu~rnOReceip/~tJ Requested <br />. i" t~y U' ~fiGC~~ <br />-' (Signature) <br />Larry P. Routten, Assessment Officer <br />Print Name and Title <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 />mew u ~.a co-aQ~ , .£K v <br />~~c~~~ ~'- ' ' Operator <br />=EL ~ 4 19~~ By ,cc-Yl~ewct_ <br />(Signature) <br />Mined Lang <br />?Prlamatinr fl"' <br />Date web ~d 19~, <br />LPR/bjw <br />1172E <br />