_ENFORCEMENT - C1981017 ‎(19)‎

• Permit No: C1981017
• IBM Index Class Name: Enforcement
• Doc Name: Bid Documents ‎(IMP)‎ CV-91-015
• Violation No.: C-91-015
• Media Type: D
• Archive: No

MINED LAND RECLAMATION DIVISION p
CERTIFICATE OF SERVICE
PERMIT NO. : C-81-017 fii,'drr
C;
C.O. NO.; ,.,q, s6vsica
N.O.V. NO. : C015
I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT
OF CIVIL PENALTY on the operator therein described by depositing a true copy
thereof first class postage prepaid in the United States mails at Denver,
Colorado, addressed to the operator at the address above, on October 7, 1991 .
14
Certified Mail No. : P 075 312 721
Return Receipt Requested
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r
Signature of Person Served (Signature)
if personal service
L fr v P nor �k, *eo w xt 07 77e e^
Print Name and Title Print Name and Title
---- Check applicable method of service.
REQUEST FOR CONFERENCE
The operator above described hereby requests an assessment or settlement
conference as permitted by C.R.S. 34-33-123(8) .
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Operator
gnature)
Date 19-V
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