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CMT <br /> r <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-88-022 <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 ___��___ by depositing a true <br /> copy thereoffirst class postage prepaid in the Uni'�e3 States mails at Denver, <br /> Colorado, addressed to the operator at the address above, on May 20 , <br /> 19 88 . <br /> Certified Mail No. P 765 476 115 <br /> Return Receip R ue ted <br /> Signature of Person Served a ure <br /> if personal service <br /> Michael S. Savage Assessment Officer <br /> Print Name and Tit a 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 /> CGIUnAvt-UT r _7A-C-'- <br /> Operator <br /> By <br /> ignature <br /> Date /k7g-y o?5 19 fRr%EC&m1 ED <br /> (5/85) MAY 2 7 1988 <br /> Doc. No. 251 MINED LA;,,,, <br /> [IECLAMATION DIVISION <br />