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III IIIIIIIIIIIII III <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-022 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-92-034 <br />RECEi'~~~ <br />19EC 9 199 <br />DIVISiv~. ~•~ <br />tvIINERALS 8 GE01 ~ " ~ <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 November 25, 1992. <br />Signature of Person Se <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 860 170 628 <br />Return Receipt Requested <br />/,cr~'O' L~=G~Nif/lL~tJ <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 />~amEQSF~ ~~j~_ ' J <br />Operator <br />rBy ~ ~~~ <br />(Signature) <br />Date /Z/ 7 19 `jL' <br />LPR/ern <br />5492E <br />