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C • • <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-80-005 <br />C.O. NO.: None <br />N.O.V. NO.: C-92-023 <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 2, 1992. <br />Certified Mail No.: P 860 170 929 <br />Return Receipt Regtn:st <br />Signature of Person Served ignature) <br />G" <br />David Berry, Senior Reclamation Specialist <br />Print Name and Title Print Name and Title <br />if personal service <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 />Operator <br />By <br />(Signature) <br />Date 19 <br />DAB/yjb <br />4717E <br />