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,. <br /> <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-82-056 <br />RF~~~~,i <br />~_ <br />R~OU ;; 1993 <br /> <br />C.0. NO.: <br />N.O.V. NO.: C-93-137 <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 enver, <br />Colorado, addressed to the operator at the address above, on n z ~ 9 3 <br />Certified Mail No.: P 296 527 255 <br />Return Recei t Requested <br />~ ~ /J i ~ i ~ <br />Signature of Person Served (Signatur <br />if personal service <br />Daniel I. Hernandez, Assessment Officer <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 />~~~ ~ ~,~~ <br />Operator <br />By I$R~ ~-~ <br />(Si ture) <br />Date ir~/~%~ 19 <br />DIH/scm <br />9121E <br />