_GENERAL DOCUMENTS - C1981017 ‎(146)‎

• Permit No: C1981017
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Name: Bid Documents ‎(IMP)‎
• Permit Index Doc Type: General Correspondence
• Media Type: D
• Archive: No

MINED LAND RECLAMATION DIVISION
CERTIFICATE OF SERVICE CFI
N.O.V. NO. C-84-095 4?1141, �( 1 `
co �q 1 I
I hereby certify that I served a copy of the foregoing NOTICE*tO? R ED AM rT
OF CIVIL PENALTY on the operator therein described by (a) per vice
upon the operator or its representative at �at�la
Colorado on , 19 or x b * by depositing S/p
copy thereof first class postage prepaid in the United States mails at Denver,�0,s ��
Colorado, addressed to the operator at the address above, on
19
Return Receipt Re que ted
Cer d Mail No.
( 'gnature
James Herron
Name Printed
* ---- Check applicable method of service.
REQUEST FOR CONFERENCE
The operator above described hereby requests an assessment or settlement
conference as permitted by C.R.S. 34-33-123(8) .
IM 11D, Co ry t I t►.�F R-Sov ec�s 1 we.
Operator
B
y
(Signature)
Date 1 1911
(1/83)
Doc. No. 251