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INSTRUCTIONS: <br />(1) If the ben is claimed by a firm or corporation, state here that aunt is a member of the firm or his <br />oficial capacity in the corporation. <br />(s) State here whether verbal or written contract. 11 written, attach copy, or lien is void. <br />(3) "Erection," "Construction," "Alteration! or „Repair," as the case tray be. <br />(4) Here insert correct k94 -I description of land. <br />(s) 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 hae been given, say "said amount is further evidenced by a promissory note, a copy of said note <br />being hereto attached and marked `Exhibit J' " <br />Q� <br />CD <br />N <br />.SSA <br />.c <br />O <br />4 r <br />w <br />t= <br />CL <br />Q <br />` <br />_ <br />W <br />Q� <br />C" <br />.SSA <br />.c <br />i <br />w <br />t= <br />CL <br />Q <br />_ <br />.c <br />i <br />