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~~ III III III IIIIIII III <br /> 999 <br /> <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-037 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-92-017 <br />RE~El~E <br />>~OV 61992 <br />D,h..- ~ Y <br />Rf~l-5 P VL~~., <br />M~N~ <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 October 22, 1992. <br />Certified Mail No.: P 880 733 590 <br />Return Receipt Requested <br />~.!/l~(r/ U L~~2/ <br />Signature of Person Served (Signature) <br />if personal service <br />Larry P. Routten, Assessment Officer <br />Print Name and Title Print Name and Title <br />REQUEST FOR CONFERENCE <br />5,..~, <br />The o~ya~t~T' above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />MA~so9J wasca*z.o,i co~e~P. <br />ey <br />(Signature) <br />Gate NoJ '2. <br />1 9 ~( L <br />CWB/bjw <br />5163F <br />