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:. ,. <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-012 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-039 <br />RECE4VED <br />MAY 131993 <br />Division of Minerals & Geology <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 179 166 364 <br />Return Receipt Requested. <br />Signature of Person Served <br />if personal service <br />David A. Berry! Reclamation Special <br />Print Name and Title Print Name and itle <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />conference a5 permitted by C.R.S. 34-33-123(8). <br />~~~'~~I~I'~~II~~ I~I <br />sss <br />~~, ~,_ <br />Operator <br />By u~(~ <br />(Signature) <br />Date 0 19 /~ <br />JJD/bjw <br />7444E <br />