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<br />MINED LANG RECLAMATION DIVISION <br />CERTIFICATE OF SERVICE <br />N.O.V. N0. C-85-027 <br />iii iii~~iiiiiiiiiii <br />i ~'r i.f~iUFf~ <br />MAY 31!~1~~ <br />t'1NF.~ U1~!J fiECIANIgTION DIVIcION <br />Colo. De~l.ot Natural C~?rcrcas <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 XX b * by depositing a true <br />copy thereo irs c ass postage prepaid in the UniTt~ States mails at Denver, <br />Colorado, addressed to the operator at the address above, on Aori1 29 , <br />19~y. <br />Certified Mail No. P 652 676 084 <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 />/mss i ~L /~C ~.~ L e ~ . /Nc. <br />Operator <br />-(Signature <br />Date -~i6~,( c~ ~J 19 g S <br />(1/83) <br />Doc. No. 251 <br />