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MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: 81-039 <br />C.O. NO.: <br />N,O.V. NO,: C-91-003 <br />I hereby certify that I served a cony 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 May 24, 1991. <br />Signature of~erson Serve~- <br />if personal service <br />riot Name and itle <br />Certified Mail No.: P 427 345 126 <br />Return Receipt Requested <br />ignature <br />James C. Stevens, 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 />Operator <br />JCS/yjb <br />By <br />(Signature ) <br />Date i9 <br />5833E <br />