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;.a k _ <br />J r • • <br />'1INED LAFlD RECLAf•L4TION DIVISION <br />CETIFICATE OF StBUICE <br />~i.O.U. N0. 83-20 <br />I nereoy certify that I served a copy of the foregoing iiUTICE OF PRUPUSEU Ai•IUUNT <br />OF CIVIL PENALTY on the operator therein described by (a)* personal service <br />upon the operator or its representative at <br />Colorado on 19 or ~(u)* by aepositin9 a true <br />copy thereof first class postage prepaid in the Unites States Tails at Denver, <br />Colorado, addressed to the operator at the address above, on , <br />19 <br />Certified Main `lo. P 24i 5~4 F49 <br />Signat re <br />Susan Plowry <br />Name Printed <br />* ---- Check applicable method of service. <br />REQUEST FUR C01.1FERENCE <br />The operator above described hereby requests an assessment or settlernent <br />conference as permitted by C.R.S. 34-33-123(8). <br />W A~OE1~1 Cor,L CpKaA N~/ <br />erator <br />--^ - -- <br />Signature <br />Date ~..~ ~~~ ~~ 1983 <br />(1/83) <br />Doc. No. 251 <br />