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c <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-64-065 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-94-017 <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 mai,l.s at Denver, <br />Colorado, addressed to the operator at the address above,..-on September 6, 1994. <br />Certified Mai1.No:: P 296 603 236 <br />Return Rece~pt:R~quested <br />~,' <br />Signature of Person Served <br />if personal service <br />ignature <br />David A. Berry, Assessment Officer <br />Print Name and Title 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 <br />(Signature) <br />Date <br />19 <br />DAB/bjN <br />0928E <br />