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CMT <br /> MINED LAND RECLAMATION DIVISION <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. _C-81-017 <br /> C.O. NO. <br /> N.O.V. N0. r_RR_n�i <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 ' <br /> by depositing a true <br /> copy thereoffirst c ass postage prepaid in the Un177e States mails at Denver, <br /> Colorado, addressed to the operator at the address above, on May 20 <br /> 1988 . <br /> Certified Mail No. P 765 476 115 <br /> Return Receipt Re e <br /> Signature Fof verso-n-3-er—v-e-d' <br /> if personal service igna ure <br /> Print Name and Title Print--Ilame and litle <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 <br /> Signature <br /> Date 19 <br /> (5/85) <br /> Doc. No. 251 <br />