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<br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />Permit No. c-81-041 <br />NOV No. C-97-001 <br />I hereby certify that I served a copy of the foregoing NOTICE AND ORDER TO PAY FIXED PENALTY <br />on FEBRUARY 14, 1997 by depositing a true copy thereof, first class postage prepaid, in the <br />United States mail, to the operator at the address above, on FEBRUARY 14, 1997 <br />Certified Mail No. P 076 556 456 <br />Return Receipt Requested <br />Signature of Person Served Signature <br />if Personal Service <br />Name: DAVlr9-B'RRRY <br />Title: Assessment Officer <br />Name and Title <br />REQUEST FOR CONFERENCE <br />~ The operator above described hereby requests an assessment or settlement conference as permitted by <br />C.R.S. 34-33-123(8). <br />Operator <br />13y <br />(Signature) <br />Date <br />