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DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-041 <br />C.0. NO.: N/A <br />N.O.V. NO.: C-94-014 <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 August 4, 1994. <br />Certified Mail No.: P 296 603 047 <br />Retiyr~ Recei qu ted <br />Signature of Person Served (Signature) <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 />Operator <br />By <br />(Signature) <br />Date <br />19 <br />DIH/bjw <br />0824E <br />