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� <br />� <br />� <br /> r � <br /> 1NSTRUCT/ONS: <br /> ; (t) If t/te lien is clainied by a �irrx ar torporation, sfate here thae a/]iant is a me�nber o( the �inn o� his <br /> ' offitial caQacity in thn ro�Qoralion. <br /> ` (z) State hese whether verbal or writf¢n contract. If writfen, atfac/i copy, or lien is void. <br /> (3� ., » „ n ,. „ „ » <br /> Erecfian, Constructian, A(terafion, os ReQair, as Uie case nsay be. <br /> :, ' '; (¢) Here insert correct legal description of land. � <br /> (51 /f fhe labor and material wese Jurnished !Ge conNactor and not the owner direct, sfate "lhat.................. � <br /> '' was fhe eontractor on sbid 6uilding ond acting (or the oumer." <br /> ' (6) If nofe has bcen given, say "said an�ount is further evidenced by a proroiissory nole, a copy of said note <br /> being heselo attached and marked 'Exhibit B:" ' ' <br /> . <br /> : :�': <br /> ; :i , . <br /> � � <br /> :�, <br /> � � <br /> Z � ,P� <br /> � M ^�� <br /> F N N <br /> u -� --• <br /> � � I Y o � <. <br /> - �-I � ' - . <br /> � p � � I d � ' t . �.,� �, . <br /> � � O I C _S "_. �` I � . � . . <br /> � �' ` • T � <br /> O O 1 n' � . i . . � <br /> � .� � � 3 � � . co c�. . <br /> I � � n �i v � . ;- \ `, . <br /> . � A c r_ � , l � . . e . <br /> A� \ m fa � �4 '7 ` <br /> �� C I \ C7 c7 Z � � _ O :._ .: . <br /> . W 'C � -.— , � '• ' " . <br /> j <br /> . [n p � � \�� . . <br /> w , <br /> I o ' � • <br /> I , � ' r <br /> T i c .-r,� G <br /> � o � �' o <br /> 'v a � : v : � � <br /> . y � � � s i0 � � , . <br /> . . � � . . . �--� Q z y � � � _ _. ,K .;�� � � <br /> , o 0 <br /> �. � ' . . o ti o x Y�'o-`: N } = : <br /> � • V ro/y Q � Y ,� <br /> � a 7 � � : <br /> U y .� y' .�. � � �' �3; <br /> � ' v +�i "Y � C � # . <br /> U �' e ` ^ � <br /> � o w a U � � <br /> * y � <br /> • b U � <br /> _ . �+ •« . � ~ . . E' � <br />� � , . . . . i V7 . � . 'O '� . . I I I <br /> J <br />^ <br />�- <br />�;�_ <br />�`� <br />