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ti~ <br />l <br />,.- _ ~ <br />o~r,~iVED <br />N n 4 1996 <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.:C-80-007 <br />C.O. NO.: <br />N.O.V. NO.:C-96-013 <br />owuieH dr r~iRyrdib u Cvmugy <br />I hereby certify that I served a copy of the foregoing NOTICE OF <br />PROPOSED AMOUNT OF CIVIL PENALTY on the operator therein described <br />by depositing a true copy thereof first class postage prepaid in <br />the United States mails at Denver, Colorado, addressed to the <br />operator at the address above, on August 25, 1996. <br />Certified Mail No.: Z 416 942 590 <br />Return Receipt Requested <br />Signature of Person Served S' nature) <br />(If personal service) <br />Larry P. Routten, Assessment Officer <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment <br />conference as permitted by C.R.S. 34-33-123(8). <br />~~Cxtr.1T1M11 1.~,~ I.OM~Ai.1-/ <br />Operator <br />(Signature) <br />Date ~ 19~Cy <br />