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41=CEl~/ED <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-012 <br />C.0. NO.: N/A <br />N.O.V. NO.: C-94-020 <br />SEP ~ 6 9~~ <br />~iviSion of itune~alS G 1:e0100y <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 7, 1994. <br />Certified Mail No.'/P 296 603 238 <br />Return Receipt Rq~~r~yed <br />Signature of Person Served <br />if personal service <br />David A. Berr <br />Print Name and Title Print Name an <br />REQUEST FOR CONFERENCE <br />'y~ure <br />A/Assessment <br />itle <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 />for <br />By <br />ignature) <br />Date /// 3~p `/ 1 g_ <br />DAB/bjw <br />0929E <br />