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<br />~, <br />r _ ~: <br />" ~ i <br />C <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.O.V. N0. 83-31 <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 X b)* by depositing a true <br />copy thereof first class postage prepaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on December 28 , <br />19 g3 . <br />Certified MQail~No. P 396 758 404 <br />Signa re <br />Plichael S. Savage, Reclamation Specialist <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 />Date <br />(1/83) <br />gnature <br />19 <br />Doc. No. 251 <br />