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<br />:~ <br />CIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-037 <br />C.O. NO.: NiA <br />N.O.V. NO.: C-92-032 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT OF <br />CIVIL PENALTY on the operator therein described by depositing a true copy thereof <br />first class postage prepaid in the United States mails at Denver, Colorado, <br />addressed to the operator at the address above, on December 1, 1992. <br />Certified Mail 880 733 360 <br />Return Re Requested <br />Signature of Person Served ~ ture) <br />if personal service ~~ cJ~ <br />David A. Berry, Sr. Reclamation Specialist <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement conference <br />as permitted by C.R.S. 34-33-123(8). <br />Operator <br />By <br />(Signature) <br />Date <br />19 <br />CW8/bjw <br />5522E <br />