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<br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />Permit No. C-81-041 <br />NOV No. C-95-021 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT OF CIVIL <br />PENALTY on the operator therein described by depositing a true copy thereof, first class postage <br />prepaid, in the United States mails at Denver, Colorado, addressed to the operator at the address above, <br />on July 28, 1995. <br />Certified M ' No. P 296 607 883 <br />Return Re iUt R~duested <br />Signature of Person Served Signature <br />if Personal Service <br />Name and Title <br />David A. Bem. Assessment Officer <br />(Print Name and Title) <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement conference as permitted by <br />C.R.S. 34-33-123(8). <br />Operator <br />By <br />(Signature) <br />Date <br />1995 <br />~BINMROPNLTY <br />