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MINED LAND RECLAMATION DIVISION <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO.: C-81-017 <br /> C.O. NO.: <br /> N.O.V. NO.: C-89-017 <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 reepresentative at Colorado <br /> on , 19 or X (b)* by deposting a true copy thereof <br /> first class postage prepaid in the United States mails at Denver, Colorado, <br /> addressed to the operator at the address above, on July 5 , 19_�3 . <br /> Certified Mail No.: P 132 280 101 <br /> Return Rece'pt q e <br /> Signature of Person Served ignatur <br /> if personal service <br /> Michael S. Savage Assessment <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 <br /> (Signature ) <br /> Date 19 <br /> 11/88 <br /> 0311 (f) <br />