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a _ <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-84-065 <br />C.0. NO.: N/A <br />N.O.V. NO.: C-94-009 <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 June 21, 1994. <br />Certified Mail No.: P 296 602 754 <br />Return Receipt Reque ed <br />Signature of Person Served <br />if personal service <br />rint Name and Title <br />RECEIVEp <br />JUN 2 81994 <br />Division of Minerals a Gecicgy <br />re <br />David A. Berry, 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. 34-33-123(8). <br />/yCl/'4 ~ fix ri/.9c_ , .~ ~' . <br />Operator <br />kSignature) <br />Date ~~/ 19 ~Sl <br />DAB/b;w <br />0586E <br />