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~:;~~ .,_ <br />DTt'LSION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />Permit No. c-81-018 <br />NOV No. c-96-019 <br />I hereby certify that I served a copy of the foregoing NOTICE AND ORDER TO PAY FIXED PENALTY <br />on t ~/~n/gt: by depositing a true copy thereof, first class postage prepaid, in the <br />United States mail, to the operator at the address above, on 12/30/96 <br />Certified Mail No. P 427 335 093 <br />Return Receipt Requested <br />Signature of Person Served Signature <br />if Personal Service <br />Name: yDAVID A. BE <br />Title: Assessment Officer <br />Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an at~~~ent or settlement conference as permitted by <br />C.RS. 34-33-123(8). <br />Operator <br />ay <br />(Signature) <br />Date <br />