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:;; <br />III IIIIIIIIIIIII III <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-B1-012 <br />C.O. NO.: N/A <br />RECEIVED <br />MAY 13 1993 <br />Division of Minerals ~.Ggology <br />N.O.V. NO.: C-93-040 <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 7, 1993. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 17y~fr6 365 <br />Return Receipt Reque <br />gna <br />David A. Berry, Sr. Reclamation Specialist <br />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 />,, a <br />Oper or <br />By <br />(S gnature) <br />Date ~ 19~ <br />JJD/bjw <br />7444E <br />