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DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-013 <br />C.O. NO.: C-93-012 <br />N.O.V. NO.: N/A <br />RECLIV~D <br />'SAY ~ 7 1993 <br />Dwrs;cn of Minerars 3 ~coruy 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 April 28, 1993. <br />Signature of Person Served <br />if personal service <br />nt Name and Title <br />Certified Mail No.: P 317 808 306 <br />Return~~Rppeceipt Requested <br />' (Signature) <br />Larry P. Routten, Assessment Officer <br />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. 3a-33-123(8). <br /> <br />~ <br /> ~ ~~ <br />Operator <br />By <br />(Signature) <br />Date ~~l~G, ~. ~C!/T, 19_ <br />JJD/bjw <br />73C7F <br />