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<br /> <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-84-065 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-90-062 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT <br />OF CIYIL 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 January 8, 1991. <br />Signature of Person Served <br />if personal service <br />Print Name and Tit e <br />Certified Mail No.: P 427 452 718 <br />Return Receipt Requested <br />JQ/1~11LiJ G S~V,Pit1-o <br />(Signature) <br />James C. Stevens, Assessment Officer <br />Print Name and Tit e <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 />JCS/ ern <br />2629E <br />• SENDER: Complete items 1 and 2 when atltlitional services ere desired, antl complete items <br />3 and 4. <br />Put your address ~n the "RE'~\1RN TO" Space on the reverse side. Failure to tlo This will prevent this card <br />from being returned to you. The return recei t fee will rovide ou the name of the erson tleliveretl to and <br />the tlate of deliver .For ad ibona ees t e o lowing services are avails e. onsult postmaster or ees <br />an c ck boxles or additional servicelsl requested. <br />1. Show to whom delivered, date, and addressee's adtlress. 2. ^ Restricted Delivery <br />(Ervu charge) (Fi'rra charge) <br />3. Article Addressed to: <br />i C' <br />-K <br />N <br />~ <br />~ <br />' 4. title Number <br />5~ t7 X52 ~ r 8 <br />e <br />as <br />~ <br />qy <br />? <br />• <br />_ / <br />~~~~ E. `]~ /I~,~,~j~~ #',O(.j <br />~"T /'~W ~X I <br />, 2 <br />~J Type of Service: <br />^ Registered ^ Insured <br />~Cernfied ^ COD <br />Express Mail ^ Return Receipt <br />for Merchandise <br />~Ohu~`e ~~ ~QG~ <br />L / Always obtain signature of addressee <br /> or agent antl DATE DELIVERED. <br />5. Signature - Addressee B. Addressee's Address (ONLY if <br />X rrquerred and fee paid) <br />6. tur Agent <br />7. Date of Deliv <br />PS Form 3811, Apr. 1989 +U.e.G.P.O. 1999~]38~815 DOMESTIC RETURN RECEIPT <br />