Laserfiche WebLink
<br /> (I) <br /> (2) <br />r- (3) <br />(4) <br />(5) <br /> (6) <br /> <br />INSTRUCTIONS: <br />If the lieu is claimed by a firm or corporation, state here that affiant is a member of the firm or his <br />official capacity in the corporation. <br />State here whether verbal or written contract. If writtetl, attach copy, or lien is void. <br />"Erection," "Construction," "Alteration," or "Repair;" as the case may be. <br />Here insert correct legal description of land. <br />If the labor and material were furnished the contractor and not the owner direct,state "that.h.............,. <br />,was the contractor on said building and acting for the owner." <br />If note has been given, say "said amolent is further evidenced by a promissory note, a copy of said note <br />beIng hereto attached atld marked'E:-rhibit B':" <br /> <br /> <br /> <br />~ ra <br />\ "- <br />'VJ "'- ~ <br /> ~ fVl <br /> ~ {.~ <br /> .-i 0) C"J ~ 0\- <br /> ~+~r "'-I /'''<:..., ~ <br /> 'I <br /> '..,;1 Cf <br />1 "-' ",', c <br /> , Le. < <br /> L__ <br />" ,'- --< <;:) <br />- " '-v ~ <br />c: <br />II .-l 0$ :>>=:; .... c [J <br />E -c: -c: :E."'- t~_ L';:l <br />:J rotu :~. , ..' r..J c' <br />~ J C3 . cp z:.3 .. <br />.. ,-. r::C " c- <br />O CO ---:> -',;.,'-: <br />I 00 .' - ,./':~ <br />'- ~~, co <br /> (1) c: co <br />1 "- <br />C <br />1&01 <br /> <br /> <br />L <br /> <br /> <br />"J .,_ <br />;_.~ <br />