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,_.. ~ <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.O.V. NO.C-85-005 <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 _(a)* personal service <br />upon the operator or its representative at , <br />Colorado on 19 or b * by depositing a true <br />copy thereof first c ass postage prepaid in the Un a States mails at Denver, <br />Colorado, addressed to the operator at the address above, on ,Km.-C~ / , <br />1965. <br />Certified Mail No.P 652 674 420 <br />~~;~ 5 ~ ~~ <br />Signatur <br />P1ichael S. Savage <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 />