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DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-B1-012 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-044 <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 M~ 1993. <br />Certified Ma o.: P 9 166 369 <br />Return Rece,i~pt ed <br />Signature of Person Served <br />if personal service <br />nature <br />David A./Berry, Sr. Reclamation Specialist <br />Print Name and Title 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 />Operator <br />By <br />Date <br />gnature <br />19 <br />JJD/bjw <br />7444E <br />