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<br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: 76/601UG/:C-81-045 <br />N.O.V. NO.: C-91-007 <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 bydepositing 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 August 13, 1991. <br />Signature of Person Served <br />if personal service <br />int Name and Title <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 />Certified Mail No.: P 666 579 305 <br />Return Receipt Requested <br />-~~ (Si9 ature) <br />Larry P. Routten, AsseSSment Officer <br />Operator <br />By <br />Date <br />gndture) <br />19 <br />CLM/eke <br />7598E <br />