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r DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-019 <br />C.O. NO.: <br />N.O.V. NO.: C-93-072 <br />~II ~I~~I~~I~~~~~~I~ <br />RECEIVEG <br />JUL 16 1993 <br />Division of MmBid~S s c;eUlogY <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 8, 1993. <br />Signature of Person Served <br />if personal service <br />rint Name and Title <br />Certified Mail No.: P 179 166 23 <br />Return Receipt Request <br />(Si ature) <br />Daniel I. Hernandez, Sr. Reclamation Spec. <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 /> <br />Operator <br />B y 7~ l <br />(Signature) <br />Date / 19 93 <br />DIH/scm <br />8039E <br />