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TUE 1J:15 FA% 1 719 888 2275 BASIN RESOURCES <br />DIVISION OF MINERALS ANO GEOLOGY <br />CERTIFICATE OF SERVICE <br />PEFMIT NO.. C-B1-012 <br />'C.O. NO.: N/ <br />N.O.V. .. C-94-019 ~ a~y~~ <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 September 9, 1994. <br />Certified Mail <br />Return Receipt <br />Signature of Person Served <br />if personal service <br />P 296 603 187 <br />re <br />f~ooa <br />David A. Berrv. 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 />.~~s~~v ~G~~ ~J/LG~ <br />0 or <br />By <br />v ,~3'ig/nJnature) <br />Date ~.3 7 ~ 19 <br />DAB/b]w <br />0929E <br />