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r <br /> MINED LAND RECLAMATION DIVISION JUL <br /> CERTIFICATE OF SERVICE P�71NE0(gND <br /> N.O.V. NO. C-84-105 Colo. Dept. o A(a'� ¢ r��,�,nr.�r�� �t <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 c ass postage prepaid iT the United States mails at Denver, <br /> Colorado, addressed to the operator at the address above, on <br /> 19 <br /> Ret,urn Receipt Req a ted <br /> Ce ified Mail No <br /> '4 L > ' �� <br /> Signature) <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 /> INt t'D Cc t�i't N EtR V&SoUR-C�F—S ! IkC <br /> Operator <br /> By W <br /> Signature <br /> Date -)19 <br /> (1/83) <br /> Doc. No. 251 <br />