ENFORCE33696

• Permit No: C1981012
• IBM Index Class Name: Enforcement
• Doc Date: 9/1/1991
• Doc Name: CERTIFICATE OF SERVICE
• Violation No.: CV1991014
• Media Type: D
• Archive: No

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MINED LAND RECLAMATION DIVISION
`'~~~ 1 ~ ~ CERTIFICATE OF SERVIf.E
'v'~''`~~ -~" PERMIT NO.: C-81 -012
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C,O, NO.: N/A
N.O. V, NO.: f,-91-01 a
I hereby certify that I served a coot' of the foregoing NOTICE OF PROPOSED AMOUNT
OF CIVIL PENALTY on the operator therein described by depositing a true cony
thereof first class postage prepaid in the United States mails at Denver,
Colorado, addressed to the operator at the address above, on September 4, 1991,
Certified Mai
Return Recad'6
Signature of Person Served
if personal service
P 666 579 340
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gnature
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Print Name and Title Print Name and ~tle
* --== Check applicable method of service.
REQUEST FOR CONFERENCE
The operator above described hereby requests an assessment or settlement
conference as permitted by C,R,S. 34-33-123(81.
_~t1~~~. ~.~ ~
/Operator
(Signature)
Date `~~ /" r ~~ -• 19~

DAB /ern
7977E