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t; <br />,- �, ,�, <br />� " <br /> . ( N ��� <br />� � � <br /> . . . :. � : . . <br /> � , ,, . , . . � <br /> INSTRUCTIONS: ~ � <br /> (�J I� tde liest is claitaed-by a f+r�n ur- corp'o'ration, state Gere lhat ajJiant is a +neu�Ler of the jirrn or hrs <br /> oBicial capacity in tha cor/�oratiori. <br /> (r) State l�ere zuleC"lher verbnl or written contract. If xuritten, attacA copy, or lier� is void. <br /> « , ;,. ,� » �, „ �, „ <br /> � 13) , Lrection, C6nslruction, Alterallon, or Kepnir, as the case may be. <br /> - (¢) liore rnser! carract legal description o( land. <br /> (S) I f tha laUdr and a�iaterial zuata furnished the costractor and +iot the ozuner direct, state "that.................. <br /> ,uos U�e contrador an said bsilding aoid actin� far the oxvner." <br /> (6J If note has beos givea, say "said an�ou�it is further evidenced Ly a prornissary riote, a copy of said �io1e <br /> Gcing hereto utJacl�ed a�d fanrked `Exl�rLit !i':' <br /> � <br /> . <br /> s <br /> � <br /> . `�i� L� �. . . . <br /> - �_..,. . . . <br /> � ��� <br /> I <br /> ��y � � C") ^5 <br /> L t � [:� �ti <br /> 5 � O � �� �j :t �� �� • \ . <br /> � <br /> �. � Ql � � { 'a �y�r �`�' U ' . <br /> E � �c , c : <br /> � } tn _ J 1 i.. <br /> L ,' � �" � � � � � y ,��. . <br /> � . �� �, � c:� <br /> . n C� � a� � � ._ ` <br /> �' � p � .. � L� _- t. . <br /> . U � . C � c+ �, �.,. r. , . �'_ <br /> . �� -U � ��.�. 7J t1 li C� "_ . LL� <br /> � y � 19 UGL � �.- _ . <br /> � .� W ;_ '_ <br /> ! ` �� <br /> c a � _ � �' � -\ <br /> W h O ��. �J <br /> y N U r. <br /> u w <br /> �I �i � <br /> il i� . I� : � ' : �I . .'� � <br /> i� li ;'I '? � �„ i� , i' � <br /> I �� !i � ' � � �� i� �r . � � <br /> i � _ 1 . I � <br /> _ . � <br /> 'G y 't• ji � i i .1 <br /> . � � �" •-�-�--• e, . t� � i i ,, i i . . <br /> a � ��I =� ° �� �' I� � - . 1 � <br /> � ' p <br /> � � r! 1 • <br /> � li C � II � I� .. ( . <br /> i � <br /> V i . , il • J `'; . ' i I M � <br /> L � ` , y ` � ; ;� � <br /> � ._ � . . Ii �� � d <br /> Uw � - Y i; � i� � n, .- <br /> � f7 0 _ ' : � � �� o � �� . <br />, � Q � `_' ,, �� (� � !i2 <br /> �� � � � =. � � �� � ; <br />� � o ` 4 - . ii �i j <br />'� II . � . :, � ; - <br />� � -- � <br />.� <br /> � <br /> � <br />