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~= . <br />~; <br />~II II~II~I~~II~~ II~ <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE RECEIVE L' <br />PERMIT NO.: C-81-019 JUL 16 1993 <br />C.O. NO.: <br />N .0. V. N0.: C-93-073 Division nl Poiindrdis ~ ~euioyy <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 July 8, 1993. <br />Certified Mail No.: P 179 166 236 <br />Return Receipt Re u <br />Signature of Person Served ignature> <br />if personal service /~~ <br />Daniel I. Hernandez, Sr. Reclamation Spec. <br />Print Name and Title Print Name and Title <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 />Operator <br />g y ~l <br />(Signature) <br />Date ~ 19~ <br />DIH/scm <br />8G39F <br />