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MINED LAND RECLAMATION DIVISION '104 �® <br /> CERTIFICATE OF SERVICE �Nop�gNpR 11 /y �� <br /> N.O.V. NO. C-84-094 pout. OfN qt"i/,� <br /> d/h-aG ., � <br /> I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED PUNY <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 x 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 <br /> 19 <br /> Retur Receipt Requested <br /> Certi ied Mail No. <br /> (Si a ure <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 C.R.S. 34-33-123(8) . <br /> u�a RE�Sa0RCES I NC. <br /> Operator <br /> By Lo <br /> (Signature) <br /> Date 19 <br /> (1/83) <br /> Doc. No. 251 <br />