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<br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-82-055 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-084 <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 1, 1993. <br />Signature of Person Served <br />if personal service <br />nt 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 />Certified ~.: P 179 166 453 <br />Return ce- Requested <br />(Signature) <br />David A. Berry, Sr. Reclamation Specialist <br />Print Name and Title <br />Operator <br />6y <br />Date <br />(Signature) <br />19 <br />DAB/bjw <br />7989E <br />