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<br />;; . . I 1 f�,�{�-�,��� C�dl� �� ,� �
<br />'�` . �, i 1. The real estate subj�d to thia lien is: � L��._���4 � , d �
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<br /> 2. The person a;{aa�rtt whose interest in the real esLate the lien is claimed is. -+--'
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<br />���•��'��i> 3. The nnme sn�l. !iri�eas of tY►e claimant ie: / �
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<br /> _lY,f t�_`'"' ., 4. 'I'he name �,r,r1 acki;ce�s of the person,�'th whom the cleamant contracted is: -
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<br /> �� � b. A general d�ocrigtion of the claimant'e servfcea Performed to,to be Performed or mateizale furnished or to be
<br />=~y'''�' furniahed fo;�tJze improvement and the contract price is: -
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<br /> •�-'=I�`���"f_ 6. (Complei� one of the following)
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