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DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-80-001 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-023 <br />RECEIVED <br />APR 2 71993 <br />Divaron of Mmera;s a lieoio9Y <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 April 23, 1993. <br />Certified Mail No.: P X17 808 287 <br />Return Receipt Re ed <br />Signature of Person Served <br />if personal service <br />David A. Berry, Sr. <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />gnature <br />lamation Specialist <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />~K~ "P~zcsa~sc, ~ M~tawA~i CDq~.. ~~aW~, Cd- <br />Operator <br />By <br />(Signature) <br />Date ~ JZL 193 <br />DAB/bjw <br />7269E <br />