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~; <br />• ~ ~A ~ <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-011 <br />C.O. NO.: <br />N.O.V. NO.: C-89-031 <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 December 14, 1989. <br />Signature o Person Serve <br />if personal service <br />Certified Mail No.: P 767 447 686 <br />Return Receipt Re a ted <br />+~O " <br />ignature <br />Michael S. Savage, Assessment Officer <br />riot Name an Tit e Print Name and Tit e <br />* ---- Check applicable method of service. <br />REQUEST FOR CONFERENCE <br />Operator <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8?. <br />By <br />(Signature <br />Date 19 <br />DAB/yjb <br />2215E <br />