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DIVISION OF MINERALS AND GEOLOGY <br /> CERTIFICATE OF SERVICE JUL 1993 <br /> PERMIT NO. : C-81-017 `✓;Sri)'. r 'VI;r1, <br /> C.O. NO. : <br /> N.O.V. NO. : C-93-086 <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 7, 1993. <br /> Certi fi ed Mai•1 No. : P 179 166 260 <br /> Return Receipt Requested <br /> 11 <br /> Uaa4c z�/� 1, <br /> Signature of Person Served '(Signature) <br /> if personal service <br /> Daniel I. Hernandez, Sr. Reclamation Spec. <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 /> DIH/scm <br /> 8037F <br />