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iiiiiiiiiiiiiiiiiii <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-029 <br />C.0. NO.: N/A <br />N.O.V. NO.: C-94-012 <br /> <br />JUR ~ ~ 1994 <br /> <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 June 22, 1994. <br />Signature of Person Served <br />if personal service <br />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 />BY _~d=~%1~t.~~.l~ili <br />lv Signature) <br />Date ~v - ~1 19~ <br />DAB/bjw <br />0586E <br /> <br />Certified Mail No.: P 296 602 939 <br />Return Receipt Requested <br />