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1 CMT <br /> MINED LAND RECLAMATION DIVISION <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. C-81-017 <br /> C.O. NO. <br /> N.O.V. NO. <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 thereof first class postage prepaid in the Uni'�e� 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 Receipt Re e <br /> Signature of PersonServed- <br /> ignature <br /> if personal service ly <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 /> By I- <br /> gnature <br /> REDate <br /> ME" �� <br /> (5/85) MAY 2 7 1088 <br /> Doc. No. 251 MINFED i Ai <br /> CIEC:LAMA'riON D11viSiolq <br />