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<br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-012 <br />C.O. NO.: <br />N.O.V. NO.: C-93-034 <br />RECEIVED <br />MAY 13 1993 <br />III IIIIIIIIIIIIIIII <br />Division of fviinerals & 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 6, 1993. <br />Certified Mail No.: P 179 166 879 <br />Return Receipt Reques <br />Signature of Person Served <br />if personal service <br />Print Name and Title Print N and Title <br />---- Check applicable method of service. <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 />r ~ l <br />] ~ ~ /~,~ <br />Operator <br />By <br />(Signature) <br />Date ~ 19~ <br />DAB/yjb <br />7424E <br />