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<br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.O.V. N0. 83-31 <br />I hereby certify that I served a copy of the foregoing <br />OF CIVIL PENALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 19 <br />copy thereof first class postage prepaid in the United <br />Colorado, addressed to the operator at the address abo <br />1983 <br />NOTICE OF PROPOSED AMOUNT <br />_(a)* personal service <br />, <br />b * by depositing a true <br />States mails at Denver, <br />re, on December 28 , <br />Certified Mail No. P 396 758 404 <br />Signa re <br />tlichael S. Savage, Reclamation Specialist <br />Name Printed <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 />-~, <br />Operator <br />sy y1l~;ti~~ ~~ ~~ ~.~ ~~~ <br />Signatdre <br />Date (//-n~xecer.,~ ~ 19~ <br />~~ <br />(1/83) <br />Dac. No. 251 <br />~~~~~~~~ <br />J.4 Pd 1 G 1981 <br />[.IIN~D LAND REC!A5IATIOM DIVISION <br />Calo. Deot. of Natural Resources <br />