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•' <br />2 ~~i <br /> <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.0.4. N0. 83-32 <br />I hereby certify that I served a copy of the foregoing <br />OF CIVIL PENALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 19 or X <br />copy thereof first class postage prepaid in the United <br />Colorado, addressed to the operator at the address abo <br />19 83. <br />NOTICE OF PROPOSED AMOUNT <br />(a)* personal service <br />b * by depositing a true <br />States mails at Denver, <br />ve, on December 28 , <br />Certified Mail No. P 396 758 404 <br />~~ ~ ~.~~ <br />Signatur <br />Michael 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 />Signature <br />Date 19 <br />(1/83) <br />Doc. No. 251 <br />