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i <br />INSTRUCTIONS: <br />0) If the lien is claimed by a firm or corporation, state here that afiant is a member of the firm or his <br />oficiol capacity in the corporation. <br />(a) ,State Ayers =*ether verbal or written contract. If wrieten, allach copy, or lien is void. <br />(g) "Erection," "Construction," "Alteration," or "Repair," as the case may be. <br />(4) H*v insert correct legal description of land: <br />(S) <br />If the labor and taterial were tarnished the contractor and not the owner direct, state "that ........... ... <br />,sass the contractor on said building and acting for the owner." <br />(b) 11 rate hew been given, say_ "said amount is further evidenced by a promissory note, a copy of said note <br />being hereto attached and marked 'Exhibit B'.') <br />:., a <br />i <br />Y�' I <br />L <br />� Q <br />