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RECEIVED <br /> ' INED LAND RECLAMATION DIVISION JUL� 11 ly c14 <br /> 11110 LAND RECI AMAtr <br /> CERTIFICATE OF SERVICE Colo. Dept ortvatura; Osuurts-'sr0�� <br /> N.O.V. NO. C-84-089 <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 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 /> Retu n Receipt Reques ed <br /> Cert ied Mail No. <br /> ( i 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 C.R.S. 34-33-123(8) . <br /> M l p G a N-t-, N e Nrt '?'aso uR CE S c Ne. <br /> Operator <br /> By � <br /> Signature <br /> Date t 1964 <br /> (1/83) <br /> Doc. No. 251 <br />