Laserfiche WebLink
<br />I <br /> <br />U) <br />l1 <br />~ <br /> <br />d <br />Z <br />!: <br />. <br />E <br />a <br />o <br />o <br />; <br />11 <br />.!co <br />.nco <br /> <br />L <br /> <br />INSTRUCTIONS: <br />(I) If the lim is claimed by a ,finll or corporation, state here that affiant is a member of the firm or his <br />official capacity in the corporation. <br />(2) State here whether verbal or written contract. If written, attach copy, or lien is void. <br />(3) "Erection," "Constmction," "Alteration," or "Repair," as the case may be. <br />(4) Here il'lSert correct legal descriPtion of land. <br />(5) If the labor and material were furnished the contractor and not the owner direct, state "that.................. <br />was the contractor on said building and acting for the owner." <br />(6) If note has been given, say "said a11l0unt is further evidenced by a promissory note, a copy of said note <br />being hereto attached and marked (Exhibit B'." <br /> <br /> <br />,.:) <br />1.0 <br /> <br />r <br /> <br />, <br />'\Q <br />~ <br />-s:~ <br />~~ <br />~~ <br />'t <br />\" :J <br />Ii., <br />::~ <br />\., <br />'\\\ <;:) <br />,,~ <br /> <br /> <br />v <br />~ <br /> <br />LO <br /> <br />~{g <br /> <br />~<.t LL <br />'".J C <br /> <br />'~~ ~ <br />'( c: <br />..1 IJ <br />~CL <br /> <br />r-f <br /> <br />m ~PW~ <br />~*~i g <br /> <br />.-1 .....~.gZ4. <br />..E -' Q) u. C, <br />~~~C>?- <br />t3 II' Z:..u t- <br />t-z <br />-1: ~ <br />I- 0 <br />U) 0 <br /> <br />:c: <br />c.... <br /> <br />en <br /> <br />co <br />w..J <br />L&... <br /> <br />co <br />00 <br />.. <br /> <br />r-- <br />, <br /> <br />l <br /> <br /> <br />, <br />.. <br />