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III IIIIIIIIIIIIIIII` <br />sss <br />I <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />~CCEIUF_C <br />~1AY 19 1995 <br />MAY 0 9 RECD <br />Permit No. C-82-057 Division of minerals & Geology <br />NOV No. C-95-006 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT OF CIVIL <br />PENALTY on the operator therein described by depositing a true copy thereof, first class postage <br />prepaid, in the United States mails at Denver, Colorado, addressed to the operator at the address above, <br />on May 4, 1995. <br />Signature of Person Served <br />if Personal Service <br />Name and Title <br />David A. Bem, Assessment Officer <br />(Print Name and Title) <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement conference as permitted by <br />C.R.S. 34-33-123(8). <br />~~ ~~ ~. <br />Operator <br />By (~~~2~ ~-~ <br />(Signature) <br />Date -~ l~ , 1995 <br />~Bl W~PROPNLTY <br />Certified Mail No. P 296 608 637 <br />Return Receipt Requested <br />