Laserfiche WebLink
MINED LAND RECLAMATION DIVISION <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. : C-81-017 <br /> C.O. NO. . <br /> N.O.V. NO.: C-91-017 <br /> I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT <br /> Of CIVIL PENALTY on the operator ein described by depositing a true copy eof first <br /> class postage prepaid in the United States mails at Denver, Colorado, addressed to <br /> the operator at the address above, on November 6, 1991 . <br /> Certified Mail No. : P 860 179 256 <br /> Return Mail Receipt Requested. <br /> 4&:�2�1' Ar"W�— <br /> Signature of Person Served, (Signature) <br /> if Personal Service <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 /> Signature <br /> Date 1991 <br /> 9284FJjgaw <br />