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,~ <br /> <br />xr. T LFls.-_T;_~=F_SL~_is.~ <br />i frr.feUy Certify that T S-?fV°_~~ d COCy Of the fOr?~~O~n.~ <br />>:JTICE DF ?2,PJS_,J aMuJ.'JT JF C;y1L 7c'JaLTY on the cperator <br />tnarain Jescri~ad ;,y ______(d)° 7ersonal service upon the <br />ooerdtur cr its ra;,resentative ?t <br />------------------- -----' Colorado cn __ <br />19 _-~ or __X__(a)°= Dy deposltl.r; a Lrue Copy t~ar~of first <br />C1a55 NOStdy~ ;~r2aald In tn2 UnlLad ~tdte5 md115 ai ~enverr <br />Colorado. ~durQQZSad *_o -ham opar3tor at tha a~)dress aoove. on <br />l <br />$i.3 ndtUre <br />-CAROL PAHLKE, Reclamation Specialist ___ <br />---------------- <br />Vame ?rinteo <br />• -- Cneck apolicat;le method of service. <br /> <br />ine o;,arator aoove described hereby re~uesis an ass=ss- <br />:rant or s=ttlemeni conference as permitted by C.Q.S. 34-33-'.23(°). <br />Operator <br />9y----------- <br />($iyndtUr2) <br />Date -------------------' 19 <br />CVR/L•~IOOJS/1Cc <br />