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DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C -81 -017 <br />C.O. NO.: <br />N.O.V. NO.: C -93 -090 <br />Divts!on i„ „ .. <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 July 16, 1993. <br />Signature of Person Served <br />if personal service <br />Certified Mail No.: P 179 166 205 <br />Return Receipt Requested <br />REQUEST FOR CONFERENCE <br />(Signa e) <br />Daniel I. Hernandez, Sr. Reclamation Spec. <br />Print Name and Title Print Name and Title <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34- 33- 123(8). <br />DIH /scm <br />8139F <br />\� ��.' \.� <br />By `\ <br />(Signature) <br />Operator <br />R <br />JUL 2 3 1993 <br />Date a , 19 1 <br />