Laserfiche WebLink
DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />Permit No. c-81-018 <br />NOV No. c-96-0I9 <br />iii iiiiiiiiiiiiiiii <br />999 <br />RECEIVED <br />JAN 0 6 1997 <br />Division of tvfinera~s s i,uo:ogy <br />I hereby certify that I served a copy of the foregoing NOTICE AND ORDER TO PAY FIXED PENALTY <br />on ~ ~~/yh by depositing a true copy thereof, first class postage prepaid, in the <br />United States mail, to the operator at the address above, on 12/30/96 <br />Certified Mail No. P 427 335 093 <br />Signature of Person Served <br />if Personal Service <br />Name and Title <br />Return Receipt Requested <br />Signature <br />Name: ~nnviu A. sg <br />Title: Assessment Officer <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 />g~u.e IVCocu~hu,-t ~+ev~7y~ l~:c. <br />~Se.va.c!o A-/~rrr-e <br />Operator <br />sy <br />( ignature) <br />Date ~~!?uc~/~-/ 3F j 99 7 <br />