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ti3� . i �` 4:. <br />�; ! ,Y <br /> u, r`' � . . ^ . ( . �c.y. . <br /> a ' � . .. . . fi ° ;JLd" . <br /> F3 <br />� � . . . . . - � �.. . <br />^v <br /> lNSTRUCTIONS: <br /> (r) If the lien is clnimed by ¢ firn� or corporatian, stafe here that a(jiant is a nieraLer of Nio jr�n or Lis <br /> � ofJicial capacity in tke corparatian. <br /> (z) Stato here wl�ether verbnl or zuritten contract. If iaritten, attadi copy, or lic�ti_is void. ' <br /> (3) "Erection,,, "Co��slrucfiora,,, "Alteratia�o,,' or „Rapnir," as fhe case utay be. <br /> (q) Here inaert correct legal description o( land. <br /> �5� �f �he laGor a+ed r��ateriaE tuere fsrnished tke contractor and aot f{ie o:uner direct, state "tlmt.................. <br /> � zuas tl�e cotitrattor on said Li�ilding arld acting (or the numer." . <br /> (6) 1 f uote lws becn giverr, say "said aftioin�t is f�vther eviderited by a Qro�eissory �iote, a coQy of said note <br /> Geing l�ereto attacked and �narked `Eshibit [�:,, <br /> , <br /> ; ; <br /> � ' <br /> ; <br /> , <br /> r .: . . . . . . . � . <br /> i <br /> � . ; <br /> i, <br /> i :- . � � . . . � . <br /> �.. <br /> � . <br /> c , <br /> i . . <br /> f <br /> G. <br /> � � n U1 <br /> �� � � rn <br /> ,� _ _ . =+ V ' <br /> � �, (f, o' <br /> _ `� � a ;� ' � <br /> + � , , "� .- - ' a <br /> -.� � - � ❑ <br /> ;� ' � N � � � � � <br /> !C � <br /> s' . ., - .:, '— — � id �' • Q p7 <br /> ' � .. . . . . . .. .. .. .. . . . ... . . . . . _ <br /> � � ; � �, ( � � � c <br /> a ; ; — -'- ! i '� "'" `° ' I " t , <br /> ;�, �, <br /> . . � . � . \ � `��"~ -� �,i � z N . <br /> � N o ' ' <br /> ` � � <br /> l: �` �, � <br /> � ; � <br /> k ' , _ <br />,�: , <br />� . , , <br />� �-�-.-- � � <br />_ � � <br />