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MINED LAND RECLAMATION DIVISION <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. : C-81 -017 <br /> C.O. NO. . <br /> N.O.V. NO. : C-90-052 <br /> 'J <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 November 30, 1990. <br /> Certified Mail No. : P 427 450 607 <br /> Return Receipt Requested <br /> 'J 6L11'i�i'' <br /> Signature of Person Served (Signature) <br /> if personal service <br /> JAMES C. STEVENS, ASSESSMENT OFFICER <br /> 'Print Name and Title 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 /> Operator <br /> By <br /> ignatu e <br /> Date 1L .S' '7 19� <br /> ddh 1806F <br />