|
� �
<br /> INSTRUCTIONS: y
<br /> (r) If the lien is clain:ed by a firm or corporation, state hese that ¢�'iasit is a member of ehe firm or his
<br /> officia[ capacity �� the, ,corporation. `
<br /> (a) Stats here whether verbai or written coxtract. If wsitten, attach copy, o� lien is void.
<br /> ` (3J ��Erection;, ••Gori3truttimi,•• ••�41lesation,,, or '•Repair,•• as the tase may' be. ' :'
<br /> '
<br /> (¢) Here inser! correct legal deseripfian o/ land.
<br /> (,qJ If tht labos and materie[ uxre furn+shed Yhe contractor and not the oumer direct, state "that.................. ' ` `
<br /> was th� contractor on said building and actixg for the ourn¢r."
<br /> ' �6� If n°r6 `h°„ bges+ 9iyen, say "said amount fs fusther evidenced by a promissory note, a copy of said note
<br /> ' being hereto aitached and marked 'Exhibit B."
<br /> :��
<br /> � ;
<br /> ;.
<br /> �
<br /> ,;:
<br /> ; , ;-
<br /> � � �
<br /> i >
<br /> :� _ , �t'
<br /> � y .
<br /> Aj I:
<br /> � � � � �
<br /> . , . . . . T � �i.
<br /> . . . . .. . , . . - . . .� . . . i)fi'.�.
<br /> f L
<br /> j � � � � .,s+a�
<br /> s ;
<br /> . . . . N,y�r:;
<br /> � � � �i'
<br /> � � . � . . . . . . Y�`;}i�
<br /> � � , . . . . � � � �. . . . .
<br /> . , ; � . ' . . . ' - . . . . r 1N5}:
<br /> �
<br /> � ti
<br /> -...!
<br /> . � p,� w � O -Nj IT7 �.
<br /> -. �J � c a 3 y
<br /> �. 1 m v �
<br /> T� � .J � � . .
<br /> . ' � . . r.., . -,r . �. . 4.
<br /> J N
<br /> � . ' '�I � � i'V • :• � 2 G7 C! � j
<br /> ' + C b N � f.
<br /> . . rl `,�� Sy r � �.,� N N b' � .
<br /> � � � � '3 �' � = 4f ' �i m 1 (y� �� .
<br /> � . . . � .4 � ,� �� YV� � � . � � � .i ����
<br /> . . . . ._ . .. . .._ , . . .
<br /> ��� �.1.
<br /> C '— ++ CD -" �
<br /> � a N
<br /> �
<br /> I O o .
<br /> � �� � � � � � . � >r�
<br /> �.�.�.�....,.�..�.�.„,�, <
<br /> . „
<br /> � ' r . S_.'Ww . lw {+!!�:. l�i.y.yyay � � . "
<br /> �. • �wi.
<br /> �°�.,7 � ra�'�a � ;
<br /> >r.,-. �.«.,,,�,.: ,H."'*= .n:,�x .
<br /> .... ,
<br /> �..:. � ' . . . . . � ; � ' . � . . . . �' : i ` .J'" .wxf
<br /> . . .. . � � . ���.,�
<br /> � � 14
<br /> • � � . .
<br /> * � J - ;
<br /> �
<br /> � . , � � �
<br /> ��^ryw�::
<br /> !r. . � - . . � . . . . - � . . . . . . �v: v!', ::9 .
<br /> a ��� .� . . . . .. . . . . .. . . . . � .. .. . . . :. .
<br /> „ ... y „dYY:::ein` .
<br /> � 1 :: :�;, .... . . . � . . . . . . . . . �.
<br /> � � . . . : � . . . _
<br /> , 7:a . � . . . . . � . � .
<br /> � � . . � . . . . . . . - . L�
<br /> �` . . . . . . �� � � . . . . : . . : .. . � �
<br />
|