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iiiiiiiiiiiiiiuiii <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-014 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-131 <br />RECEIVEu <br />OCT 2 g 1993 <br />Division of nnFnera~s a ueuioyy <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 October 21, 1993. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail <br />Return Receipt <br />i <br />~/ <br />U <br />David A. Berry <br />Print Name and <br />REQUEST FOR CONFERENCE <br />No.: P 296 527 245 <br />Reques d <br />!/~' nature) <br />,Assessment Officer <br />Title <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />~~aH r=.~~JS C~ L /nc~ <br />Operator <br />By <br />(Signature) <br />Date O~~- ~7 19~ <br />-~ <br />DAB/bjw <br />9094E <br />