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c <br />14i <br />I- <br />xtiTc �S: <br />If the is cis i a brit or ce-paration, state h_-re Mat apcvtl is a member of h: firm or his <br />offidd capacity ix the r^rpo�atq. <br />v ?) SOO* here whether t miW or corium cr+w wt. ; f unttea, a kt* copy, a, tiers xT vva <br />(3) "Erb "Coastr-tioh." 'AUcrvoiv%," or "Repair," as W case Tray be. <br />(4) H— souse! corneri kgd des= riptrow of trim. <br />fSI If Ow tabor and material aoere hirmitk+roi the rmtrattor and sat the owner direct state "dent —, _ <br />sear the contractor on .said bm7d=g and actiwg Tor the owner." <br />j6} It hots ins ban green, say aswowwt is fwrther evidenced by a prowsissary sots, a copy of said note <br />beiryt,4OWo attached awd maxi" 'E hiNt Ir <br />04 <br />rX- <br />w <br />1 e _ <br />- <br />L r` _ N� <br /><-J s� <br />