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<br />MINED LHidU RECLAiaAI iOiv DIVISI0i~1 <br />CENTIFICATE OF SERVICE <br />N.O.V. NU. C-84-124 <br />I nereoy 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 />1984 . <br />NOTICE GF PROPOSED AI•IUUNT <br />_(aj* personal service <br />b)* by depositing a true <br />States mails at Denver, <br />ve, on Julv 23 , <br />Certified Mail No. P 397 145 668 <br />Signature) <br />i <br />Joseph hI. O1 fiver <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 />Signature <br />Date 19 <br />(1/83) <br />Doc. No. 251 <br />