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� <br />; <br />� <br /> � � <br /> lNSTRUCTIONS: <br /> (rJ I/ the lien is claiiieed by a j�rrn or corporation, state liere fhot a(Jiant is a men�6er o( !he fini� o/ Grs <br /> afJicial capacity in 1lic corporofion. <br /> (2) State here uiheHter verbal or wriften controct. If writfen, atfach copy, or lien is void. <br /> (g) "Ereclionj"'Construcfion," "A(teration," or "Repair," as !he ca.re f�wy be. <br /> (¢) Herc insert correct lega! description o( land. <br /> ' ($J !f Ute la6or and maferial were fiarnuhed the contractor and not the owner direct, sfafe "fhat.................. ; <br /> was the contracfor on said building and acfinq for the oxrmer." <br /> (6) If note has been given, say "said mnoirnt is furtlier evidenc¢d by a proraissory note, a copy of aaid noee <br /> ! being herelo aftadted a��d marked Bxhibi! B." ' <br /> � <br /> ; � � � � <br /> \ ; ' <br /> ; � <br /> C'�� <br /> Grn t-r� .1 . . � . <br /> Z � N ti : <br /> •� N .�� <br /> ' u a ^ o �. :4 � . <br /> ,� � E �'' �c i r <br /> � � � N <br /> � Q � � cY Q _.1 � `y '. � " ' ' . . <br /> Ir � � c <br /> � � <br /> O` � � � � .� � �-� ^ �. . � �! <br /> ; . 't7 `� v '`-' ta. ,. — �. r � . . . <br /> . �G.. / 'c�', = L n y. '^� �'- J` . . <br /> . � ^ � ` � � � � � � , ::. ' . . <br /> ' ^ UC.7 GtiF- -- ,-.t: � � <br /> ', F- O t`-- .`� -. . �;. . <br /> u� v r• � . � <br /> ` . � <br /> i w � �:� ' y� � � <br /> { <br /> I'.. <br /> i <br /> f <br /> I <br /> I o ' ro y <br /> G <br /> tl � � ' w • � <br /> 4 <br /> '21 tl y ' �+ A <br /> i V i � �' <br /> ~ ° ; q <br /> �. . . , �T i � � � _ � <br /> � . � : � : � ' 'O i � o t <br /> �-, d. � i o a �. .. <br /> y '" � n f V d "y� � . <br /> i ti a y s � �I , � <br /> i <br /> � : , a � Y ' N >a. " } <br /> . � � o : ~ o ! ' � t � � <br /> '(t�-� : C� ? ti •d � � <br /> . . � , a • _ o n ' . . . <br /> ,� � e } <br /> � ti � � � � <br /> e � ; <br /> �i E i •n c � ° , <br /> � ' � i°, � :.a o <br /> . . � i ,L e �, . �. <br /> • � <br /> r <br /> ° d o y <br /> , i o � � � w <br /> m ^� o � F <br /> t �7 . � . "o .. . I <br />�-. <br /> .J <br /> ti� <br />.•, <br />\� <br />