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<br />DIVISION OF MINERALS AND GEOLOGY <br />IFICATE OF SERVICE <br />PERMIT NO.: C-91-078 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-139 <br />I hereby certify that I served a copy of the foregoing N07ICE 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 October 19, 1993. <br />Certified Mail No.: P 296 527 262 <br />Return Receipt Requested <br />Signature of Person Served <br />if personal service <br />gnature) <br />Print Name and Title <br />David A. Berrv, 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 />DAB/bjw <br />9052E <br />By <br />(Signature) <br />Date <br />19 <br /> <br />