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_ . ~, <br />_..... • • iii iiiiiiiiniii iii <br />999 <br />-,~~ ~rr ~~- <br />MINED LAND RECLAMATION DIVISION ^?j~~~~~'~ <br />CERTIFICATE OF SERVICE MAY 2 7 1986 <br />PERMIT N0. c-ftl-mn <br />C.O. N0. <br />C-86-033 (.Otd. ~8a1. Ui ti'`'`"9! `~EtSvU~C:iS <br />N.O.V. N0. <br />I hereby certify that I served a copy of the foregoing <br />OF CIVIL PENALTY on the operator therein described by <br />upon the operator or its representative at <br />Colorado on 19~or X- <br />copy thereof first c ass postage prepaid in the United <br />Colorado, addressed to the operator at the address abo~ <br />19~. <br />NOTICE OF PROPOSED AMOUNT <br />(a)* personal service <br />,b * by depositing a true <br />States mails at Denver, <br />re, on May 20 , <br />Certified Mail No. P 169 876 425 <br />Return Receipt Requested <br />r.~ ~ ~, <br />Signature of Person Served ignature <br />if personal service <br />Michael S. Savaoe, Assessment Officer <br />Print Name and Title Print Name and Title <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 />T'cn.7~: /~~/IYt~h~ inG. <br />Operator <br />Signature <br />Date ~-~ ~ 3 19 ~ <br />(5/85) <br />Doc. No. 251 <br />