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iii iiiiiiiiiiiii iii <br />999 MAY 0 9 AEC'D <br />DIVISION OF MINERALS AND GEOLOGY !~tCFI\/Ef <br />CERTIFICATE OF SERVICE MAY 19 1995 <br />Permit No. C-s2-057, Nov No. C-95-007 OivisionorMineraisaUeoiogy <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT OF CIVIL <br />PENALTY on the operator therein described by depositing a true copy thereof, first class postage <br />prepaid, in the United States mails at Denver, Colorado, addressed to the operator at the address above, <br />on May 4, 1995. <br />Certified Mail No. P 296 607 609 <br />Return Rapt Requested <br /> <br />Signature of Person Served <br />if Personal Service <br />David A. Berry. Assessment Officer <br />Name and Title (Print 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 />~~ <br />Ope ator <br />By ~lC/~ <br />(Signature) <br />Date -~ ~G <br />1995 <br />~iNMROPNLTY <br />