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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 /> �; (.�) 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..................
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