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f <br /> MINED LAND RECLAMATION DIVISION <br /> CERTIFICATE OF SERVICE "f.. <br /> PERMIT NO. : C-81-017 <br /> C.O. NO. : N/A <br /> N.O.V. NO. : C-IV <br /> 8 <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 September 17, 1991 . <br /> Certified Mail -*--1 P-,427 450 881 <br /> Return Receipt. Req.ue-sted <br /> Signature of Person Served ature) <br /> if personal service <br /> David A. Berry, Sen. Rec . Specialist <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 /> (Signature) <br /> -.: <br /> Date � = '`���_�����_,t 1 19'`� <br /> DAB/eke <br /> 8232F <br />