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iii iiiiiiiiiiiii iii <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-012 <br />C.0. NO.: None <br />N.O.V. NO.: C-92-005 <br />~~c~~v~~..~ <br />SEP S 01992 <br />DIVISiUi` Ur <br />MINERALS a GEGu .~,',v <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 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 September 15, 1992. <br />Certified Mail No.: P ~60 170 901 <br />Return Receipt Reque~d <br />Signature of Person Served <br />if personal service <br />David Berry, Senigfi` <br />Print Name and Title Print Name and Title <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 />(Si nature) c~ <br />Date o~ 19 `~ <br />DAB/scg <br />4839E <br />