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<br />MINED LAND RECLAMAT .TJ DIVISION <br />CERTIFICATE OF ERVICE <br />N.O.V. N0. <br />I hereby certify that I served a copy of the foregoing <br />OF CIVIL PENALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 19 or X <br />copy thereof first class postage prepaid in the United <br />Colorado, addressed to the operator at the address abo <br />193 <br />NOTICE OF PROPOSED AMOUNT <br />(a)* personal service <br />b * by depositing a true <br />States mails at Denver, <br />ve, on DrtnhPr 7 , <br />Certified Mail No. P 396 758 361 <br />,~ signature <br />Sandra L. Emrich <br />Name Printed <br />* ---- Check applicable method of service. <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 />Operator <br />By <br />ignature <br />Date 19 <br />(1/83) <br />Doc. No. 251 <br />