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MINED LAND RECLAMATION DIVISION <br /> CEkTIFICATE OF SERVICE <br /> N.O.V. NO. C-84-050 <br /> I nereby 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 April 18 <br /> 19g�. <br /> Ce ified Mail No. P 397 149 157 <br /> nature <br /> James Herron <br /> Name Printed <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 G.R.S. 34-33-123(8) . <br /> �sf� ! �=� G-'3dGclzCL3 <br /> Op <br /> BY <br /> (Signature) <br /> Date —2 19� <br /> IC C <br /> Doc. No. 251 <br /> P,11idED LAND €iECI A�g7i��i piylSl!�fj <br />