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<br />---999---...~. RECEI~,oEC~ <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE JUL l ~' 1941 <br />PERMIT NO.: 79-60/ug/c; C-81-015 Mined Land <br />C.0. NO.: N/A Reclamation Division <br />N.O.V. NO.: C-91-006 <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 July 12, 1991. <br />Certified Mail No.: P 666 579 201 <br />Return Receipt Requested <br />L~f+~~/Z ~Gtild S//i«~S LairL ~~ <br />Signature of Person Served <br />if personal service <br />DEG''" G~sY(,~ <br />Print Name and Title <br />~-h ~i'sm ~.~ <br />(Signature) <br />Larrv P. Routten, Assessment Officer <br />Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />/~'« rik ! G/r-Lr1 ~~I=G~Gd~ ~S.YL G~ <br />Operator <br />g y ~ lL `r~~' ~`~ <br />(Signature) <br />Date ~~''~`-~`~'H-•-w,~ 7~~~1, 19 ~! <br />LPR/ern <br />6963E <br />