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MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-014 <br />C.O. NO.: <br />N.O.V. NO.: C-91-030 <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 February 5, 1992. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 860 179 224 <br />Return Receipt Requested <br />~~~ ~ ~~ <br />(Signature) <br />Larry P. Routten, Assessment Officer <br />Print Name and Title <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 />~~~~ ~~ <br />~~ , g 2 41992 <br />E <br />N„net ~ na,"'~ <br />sec\am~~\n~ <br />f~-Hr~ac1 u /.~.c2L4 ~~-~ lr+.c.. <br />Operator <br />By <br />(Signature) <br />Date /-el ZO 19 9Z, <br />LPR/bow <br />1169E <br />