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r 7 <br />VEkil ICA1 iUN <br />l_._ J <br />STATE OF% '� �t ) <br />70� <br />ss. <br />COUNTY OF f-) <br />-AZZ/7I k i 061,1t� <br />,being first duly <br />sworn, on oat , depose(s) and say(s); that the <br />of kLv <br />, the lien claimant identified <br />above, and foregoing statement of lien, <br />and the copy of contract. attached 44-f- <br />is true, correct and authentic in <br />every particular and said lien claimant <br />is thereby entitled to the lien claimed <br />on tthe crop grown on the land described <br />therein. <br />._., <br />f <br />Li Claimant -' <br />Co- Trustee <br />Co- Trustee <br />Subscribed and sworn to before me this day of 19jA.D. <br />� <br />My C issloh Expires: <br />GL In , <br />otary Public <br />i <br />'this Instrurent Prepared 6�a`�x� <br />Li <br />I <br />n <br />l_._ J <br />