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• a • <br /> • MINED LAND RECLAMATION DIVISION <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. C-81-017 <br /> C.O. NO. <br /> N.O.V. NO. C-37-026 <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 (a)* personal service <br /> upon the operator or its representative at <br /> Colorado on 19 or _ b * by depositing a true <br /> copy thereof first class postage prepaid in the United States mails at Denver, <br /> Colorado, addressed to the operator at the address above, on July 17 <br /> 19 87 . <br /> Certified Mail No. P 168 477 A21 <br /> Return Receipt R qu sted <br /> Signature of Person Served S kiggatur <br /> if personal service <br /> Michael S. Savage, 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 /> MID-CONTINENT RESOURCES, INC. <br /> P. 0. Box 500 <br /> CARBONDALE, CO 81623 <br /> p�ator <br /> 8y <br /> Signature <br /> Edward Mulhall, Jr. , Attorney <br /> Date <br /> July 22, , 19 87 <br /> (5/85) <br /> Doc. No. 251 <br />