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t• <br />INSTRUCTIONS: <br />(r) If the lign is claimed by a firm or corporation, state here that afhant is a member of the firm or his <br />ofj&ial capacity in the corporation. <br />(a). State here whether verbal or written contract. If writtcx, attach copy, or lien is void. <br />(3) "Erection, "Construction,' "Alteration;' or "Repair," as the case may be. <br />(4) Here insert correct legal description of lard. <br />(5), 11 the labor and material were farxished the contractor and not the owner direct, state., "that ._- ....... <br />was the contractor on said building and acting for the owns!' <br />11 note has been given, say "said anwunt is further evidenced by a promissory note, a copy of saidf Hate <br />beixg hereto attached and marked `Exhibit B':' <br />U <br />1 <br />Q1 � <br />�t Cn eh 1 ILL (S <br />© �i1s OD 4% 0. vs. s 1 <br />Q. W x <br />n Z LL. <br />1 c� <br />i� <br />It JA4 <br />r <br />G� 6� ah (� V <br />+'h <br />i� <br />f'_' -'rte <br />�- •. -_. -- <br />I <br />L <br />l <br />- <br />