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. e- --a..~ Y.~r~,', <br />~ '~~. <br />J~ <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-139-074 <br />C.0. NO.: N/A <br />N.O.V. NO.: C-93-055 <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 depositing a true copy <br />thereof first class postage prepaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on May 7, 1993. <br />Certified Mail No.: P 179 1~ 362 <br />Return Receipt Requested/ <br />Signature of Person Served <br />if personal service <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />tion Soeciali <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />Operator <br />By <br />(Signature) <br />Date <br />19_ <br />JJD/bjw <br />7436E <br />