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r <br /> DIVISION OF MINERALS AND GEOLOGY 4UG 2 .199.E <br /> CERTIFICATE OF SERVICE <br /> PERMIT NO. : C-81-017 <br /> C.O. NO. : N/A <br /> N.O.V. NO. : C-93-108 <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 ,August 12, 1993 . <br /> Certified Mail No. : P 179 166 433 <br /> Re rn Receipt„ Re uested <br /> G <br /> Signature of Person Served (Signatur <br /> if personal service <br /> Daniel I . Hernandez <br /> Print Name and Title Senior Reclamation Specialist <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 /> By <br /> (Si nature) <br /> Date i9 <br /> DIH/bjw <br /> 8462F <br />