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MINED LAND RECLAMATION DIVISION i '^ <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. : C-81-017 <br /> C.O. NO.: <br /> =c,arr <br /> N.O.V. NO. : C-90-051 <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 427 452 689 <br /> Return Receipt Requested <br /> Signature of Person Served (Signature) <br /> if personal service <br /> James C. Stevens, Assessment Officer <br /> rint Name and TitTe 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 /> Tf�s Zgnat e <br /> Date 19� <br /> JCS/yjb <br /> 17 98F <br />