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<br /> /NSTRUCT'IONS:
<br /> � (rJ !f t![@ lien is clairned Ly u firo� or corporatiori, stute here thaE ajJianf is a u�ers6er o� t4e frne ur hir
<br /> ; o�cial taQacity in tGe torparation.
<br /> � ; (z) State llere xulreNzer verbnl or writter� conlract. If zuriffen, attatl� co¢y, or lien is void.
<br /> i �j� ��Erectiori," ��CO)IS�/1lC�IGii��� ��f1��CYa�1011�" 0I `�Repnir•," US ��IC CQSC 171(1y f1C. .
<br /> � (q) Flere insert cerrect ler�al descripfion o� la��d,
<br /> � (5) If Nie Inbor attd ti�aterial were fiarnished the cantractar and nat, tl�e owner direct, stafe "1liat.................. .
<br /> } auns the contractor on said buiidiny and acting for dic o2urter."
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<br /> (6) /f flote leas Leen givert, say "said mnoirnt is fivther ez�iJence�l Ly a pran�issory note, a co¢y o( said note
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