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<br /> (tf If tlie l�e�s it.:,�lainted by u (n�s or corporatian, sfate Itrre Umt affiant is a ute+aGer o� thc firui or his
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<br /> �2 (z) State he�e whether�ver6nl or wriften contract. If written, attach rop��, or lien is voiJ.
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<br /> � : �� ` Erection, ' Constr�alion, Aftcratian, or IZeQnir, as the case onay be. � ' '
<br /> �; (.�) Here insert carrect legal descripfion of la��d.
<br /> f� (5) !( the Iabor arid �aaterial :oere fnrnished the contractor and nat the ounser direcf, state "thnt..................
<br /> fi was !!�e cuntractor on snid Lrcildin� m�d acting for Hie uToner."
<br /> „� (6) /f riote l�as Lecn �ivero, say "snid arnot�nt is �urN�er cviden�ed Ly a prouussory note, a copy of snid note
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