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DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-B1-013 <br />C.O. NO.: N/A DECEIVED <br />N.O.V. NO.: C-94-008 <br />MAY 12 1994 <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 m~pQ~Z~,i,I,}&~~'s~rdgci~c4jPy <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 3, 1994. <br />Signature of Person Served <br />if personal service <br />Certified Mail <br />Return Receipt <br />David A. BerryV, Sr. <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />179 165 774 <br />ted <br />.~ <br />nature) <br />nv. Protection Soec. <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 />gnature) <br />Date 3 ~ 7~~, 19 <br />DAB/scm <br />0313E <br />