_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

RECEIVED
MINED LAND RECLAMATION DIVISION JUL 1
1984
CERTIFICATE OF SERVICE MINED LAND
N.O.V. NO. C-84-104 Colo. Dept. ofCLAMATf urcL p�1
Natural hesejeurces
I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT
OF CIVIL PENALTY on the operator therein described by (a)* personal service
upon the operator or its representative at
Colorado on , 19 or x b * by depositing a true
copy thereof first class postage prepaid in the United States mails at Denver,
Colorado, addressed to the operator at the address above, on
19
Re urn Receipt Request d
Ce ified Mail No.
I
( ignature
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) .
tW)--C cal'j'tC N E.v-pr t2asoulLc9S l Nam.•
Operator
By -
Signature
Date q 19
(1/83)
Doc. No. 251