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iii iiiiiiiiuiiiiii <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-012 L <br />C.O. NO.: N/A <br />N.O.V. N .: C-94-019 ~' gIyISH <br />RFCFi~/ED <br />SEP 16 ~ <br />O;vision o, ,~~irerais ~ ~eu;opy <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 9, 1994. <br />Certified Mail No.: P 296 603 187 <br />Return Receipt,R~l-~sted <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />ure <br />David A. Berry, Assessment Officer <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 />~~~~~~ ~~~ ~J2G~ <br />0 or <br />By <br />ignature) <br />Date .3 7 ~ 19 <br />DAB/bjw <br />0929E <br />