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III IIIIIIIIIIIII III L~ISION OF MINERALS AND GE(~GY <br />sss <br />CERTIFICATE OF SERVICE qpR 18 RECD <br />Permit No. C-~4-082 <br />NOV No. cv-97-o03 <br />I hereby certify that I served a copy of the foregoing NOTICE AND ORDER TO PAY FIXED PENALTY <br />on APRIL 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 APRIL 14 1997 <br />Certified Mail No. Z 416 952 564 <br />Return Receipt Requested <br />Signature of Person Served <br />if Personal Service <br />Name and Title <br />Signature <br />Name: DAVID~e-BERRY <br />Title: Assessment Officer <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 />So., as COA ~ \ ~MPA1.t ~I <br />Operator <br />By ~ ~~ ~f~ <br />(Signature) <br />Date ~/L~/g 7 <br />