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MINED LAND RECLAMATION DIVI~N ~ <br />CERTIFICATE OF SERVICE RECEIVED <br />PERMIT NO.:C-81-010 ; JUL 14 1995 <br />C.O. NO.: <br />N.O.V. NO.: C-95-017 Division of Minerals 6 ~eolcyy <br />I hereby certify that I served a copy of the foregoing NOTICE OF <br />PROPOSED AMOUNT OF CIVIL PENALTY on the operator therein described <br />by depositing a true copy thereof first class postage prepaid in <br />the United States mails at Denver, Colorado, addz~e&sed to the <br />operator at the address above, on 3uly 5, 1995. <br />Certified Mail No.: P 296 608 610 <br />Return Receipt Requested <br />~' <br />Signature of Person Served Signature) <br />(If personal service) <br />Larrv P. Routten. Asse~:sment Officer <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment <br />conference as permitted by C.R.S. 34-33-123(8). <br /> <br />Operator <br />(Signature) <br />Date .hrLy rZ _, 19 ~S <br />