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MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-84-065 <br />C.O. NO.: <br />N.O.V. NO.: C-92-009 <br />III IIIIIIIIIIIIIIII <br />RECEOVE~ <br />JUL 0 6 1992 <br />Mined Land <br />Reclamation Division <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT OF CIVIL <br />PENALTY on the operator therein described by depositing a true copy thereof first class <br />postage prepaid in the United States malls at Denver, Colorado, addressed to the operator <br />at the address above, on June 22, 1992. <br />Signature of Person Serve <br />if personal service <br />Print Name and Title <br />Certified Mail No,~ % P 860 170 751 <br />Return Re e-ipt-Re nested <br />G,~"~ ~. <br />~~ (S nature) <br />David A. Berry, Senior Reclamation Specialist <br />Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement conference as <br />permitted by C.R.S. 34-33-123(8). <br />~`/~ flvflrGi/~G ~~- <br />Operator <br />8Y ~~ i~~'~~~~ <br />~~(Signature> <br />Date ~-~a - 9Z 19 <br />~~. ~~~ ~~G~ ~~ <br />DAB/yjb <br /> <br />~~~, <br />3712E <br />