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�. , _ � �
<br /> INSTRUCTIONS: ;, _
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<br /> � � (t) If ths liex is claimed by a f�rm or corporation, state here that affraxt . is a member of ehe firm or hu -
<br /> i o�'uial capacsty, in ,{he corpnratwn., . , `, , I
<br /> , (a) -Sfcts hest whether varbal;6r xsmlte�n cantrack If wrstten, atttuh copy, os lien is void. s ,�;
<br /> • .. „ « ;, ., r ;. ,. « „ .
<br /> ;t (3) : Erection, Conat�uction, .4l'tesaliox, or Repair, dr tht case maylis. • ' �� �, s
<br /> Y K �Y
<br /> i- ' :w(yyj Hsss insert eotrect legal desmi¢tiori of land. ; '
<br /> ; , (S) If the labor and material west furnuhed ths contractor and xot the oumer direct, stata "ehut...:.. ........ . ' � ? ;
<br /> ' was fhe conbactor on said building and acting for tke ozuner." '
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<br /> . F�) ,1f note has becn given, say "said a�noieaf is" further evidencad by a prdmissory aote, a copy of said swts- . . . ` .
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