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<br />iii iiiiiiiiiiiu iii <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C81-022 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-007 <br />RECEIVED <br />APR 2 1993 <br />Division of fvuumms c. geology <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 March 17, 1993. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 179 166 981 <br />Return Receipt 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. 34-33-123(8). <br />Operator <br />QP.C,P.iv2 e~- I /t G a (Zo~'~e,HS 1 n Qo~' By VIJA-L~~C L l~-~%.lCn~-f~ <br />7w\Y ~1 Iq~i3, ,~~~~.r T-"~It,„~QS (Signature) <br />Glosed and G_P ~a~d_ .C~o <br />cc~J,~~o~n( r.e ue5'~ ~or AC, (,~aS Date ~MI.G~f .29 19 93 <br />~~~~ ~', Ind <br />sss/b~W <br />6750E <br />