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.. <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFI(:ATE OF SERVICE <br />PERMIT NO.: C-80-001 <br />C.0. NO.: N/A <br />N.O.V. NO.: C-93-023 <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 State, mails at Denver, <br />Colorado, addressed to the operator at the address above, o~ April 23, 1993. <br />Certified Mail No.: P 17 808 287 <br />Return P.eceipt Re~~ed <br />i%/ , <br />Signature of Person Served <br />if personal service <br />gnature <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFEP.ENCE <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 />Date <br />gnature <br />19 <br />DAB/bow <br />7269E <br />