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III IIIIIIIIIIIII III <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-012 <br />C.O. NO.: None <br />N.O.V. NO.: C-91-028 <br />RECEIVE <br />SAP 3 01992 <br />DIVISIUiv ur <br />MINERALS & UEOLt?r;ti" <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 15, 1992. <br />Certified Mail No.: P 880 733 349 <br />Return Receipt Requeste,~ <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />David Berry, <br />Print Name an <br />REQUEST FOR CONFERENCE <br />gn <br />ialist <br />le <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 ~ ~~~(S" i"gnature) ~ <br />Date ~/„G ~.,/V o~~ 19~~- <br />DAB/b,7'w <br />4842E <br />