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<br /> <br />DIVISION OF MIlYERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />Permit No. C-81-041 <br />NOV No. c-96-o2a <br />I hereby certify that I served a copy of the foregoing NOTICE AND ORDER TO PAY FIXED PENALTY <br />on 01/07/97 by depositing a true copy thereof, first class postage prepaid, in the <br />United States mail, to the operator at the address above, on 01/07/97 <br />Certified Mail No. P ~Z7 ~ 3S t79 1 <br />Return Receipt Requested <br />Signature of Person Served <br />if Personal Service <br />Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an as~~ent or settlement conference as permitted by <br />C.RS. 3433-123(8). <br />Operator <br />sy <br />(Signature) <br />Date <br />Title: Assessment Officer <br />