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iii iiiiiiiiiiiu iii <br />MINED LAND RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.:C-83-058 <br />C.O. NO.: <br />N.O.V. NO.:C-93-104 <br /> <br />AUG 18 1993 <br />J7~~6;j 11 .l: d~in~ti a:. .. <br />... i:..,~u;, ~~ <br />I hereby certify that I served a copy of the foregoing NOTICE OF <br />PROPOSED AMOUNT OF CIVIL PENALTY on the operator therein described <br />by depositing a true copy thereof first class postage prepaid in <br />the United States mails at Denver, Colorado, addressed to the <br />operator at the address above, on August 6, 1993. <br />Certified Mail No.: P 179 166 444 <br />Return Receipt Requested <br />(Signature) <br />Larry P. Routten. Assessment Officer <br />Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment <br />conference as permitted by C.R.S. 34-33-123(8). ~~ <br />Operator <br />By <br />gna ur ) <br />s vice) <br />~ ~ G~i2..4 ~ 6ED <br />Date p/ 6 <br />19 a~ <br />1'>')G~2 - -r~p Fb~ <br />Print Name and Title <br />