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._ _ ~-. <br />RECEIVED <br />DIVISION OF MINERALS AND GEOLOGY <br />MAY 13 1993 <br />CERTIFICATE OF SERVICE <br />PERMIT N0.: C-81-012 Division of Mine~ais ~ Ges~io9Y <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-044 <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~7I 1993. <br />Certified Mail .:~9 166 369 <br />Return Rec t ed <br />Signature of Person Served <br />if personal service <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />na <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />~~ ~ ~ <br />Operator <br />By ct~` <br />(Signature) <br />Date /!///~ r'~ 19~~ <br />JJD/bjw <br />7444E <br />