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DIVISION OF MINERALS AND GEOLOGY <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. : C-81 -017 <br /> C.O. NO. : N/A <br /> N.O.V. NO. : C-93-110 <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 September 20, 1993. <br /> Certified Mail No. : 527 483 <br /> Return Receipt ed <br /> f " <br /> Signature of Person Served ( nature) <br /> if personal service <br /> L" <br /> David A. Berry, Sr. Reclamation Specialist <br /> Print Name and Title 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 /> By <br /> (Signature) <br /> Date 19 <br /> DAB/bjw <br /> 8836F <br />