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l\ <br />• I <br />II 1 111111111111111 <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-BO <br />C.O. NO.: N/A <br />N.O.V. NO.: C-94-016 <br /> <br />AUG i ~ 1994 <br />Cs•rs:on ~, ,,,;nerais d Geology <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 August 15, 1994. <br />Certified Mail .: P 296 603 151 <br />Return Rece~ quested <br />Signature of Person Served <br />if personal service <br />Print Name and Title Prin-`t-Name <br />REQUEST FOR CONFERENCE <br />nature <br />e <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />Twc 1~milua6 L c~~ba.c( CpgL tnwwG CO . - ECaq n+~wE <br />Operator <br />BY -`~~ <br />(Signature) <br />Date 6~~1 19~ <br />DAB/bjw <br />0059E <br />