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<br /> •.L_�v, w/•COINTIK1C770N LILN H�on�nd R�ima!Wal�Wskaa NR YW{I � -
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<br /> CONSTRUCI'ION L1CN
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<br /> - ,�,,.■�.y cy� 5 {� � ����� ly� �_-_- --
<br /> ° 1. The real estate oubject to thia lien i� 11 � T� � �'.�
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<br /> .1�'s�`"'`':•.�?;.,��, 2, The peison against whose intereet in the real te the lien ie claim i�:
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<br /> .}^'i;�+.�. .��°��.�> 0��C�6�IflN11t�9: r z`'°0!J(
<br /> �.,,,4 a�' a. T1ie na�ae and a�dd�eas
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<br /> �,� ` °# �� i 4. '11�e and of the pereon with whom the claim�nt oontracted ie: '. �1
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<br /> � � � b. A general de�ri�'tion of t4�e claimant's services performed to,to be perFormed or muteri�t'urnished or to be . �, ,,,;_tt:._
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<br /> , ,:`•�;',�� furniohed for th�i�nptovement and the oontract priae ie: ,�"::':"`-- -
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<br /> • ;`����, • 8. (Complete one of the followingl ::�-- .:
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<br /> ' .,�_The amount unpsud,whether due or not,to the claimint for the aecvia�or mAteriale ia$� i , —
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<br /> ,.,, The unpaid amount i.a not tixed by the rnnttact,but a {tocxl traa�Z esiimate in the amouM��f$ I ___
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<br /> . 7. (Complete one of the followina) ��;,,,,,;_..s
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<br /> . �,,,• .. 1'he time the la�t servicc�s or mi�terialr��vere fi�rnisher?was • I ��;�„q,,,.,;;;;��,::�
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<br /> . �.�: .�c' �,s--The time the last serviceK or ma4erl'ads vJere furniehed hae not yet oocurred but ia eatunated G► �ccur I �,�e.. '-".•.�- �:�,-
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<br /> ` � ' � � f Swberibed and awom to before me thia. di�y uf . 1• �• i'�-• ,x- .�=
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<br /> �i� •.��".:r���' �'►,� � . . ..,�.� Not�r,v Public I I T,��.:
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