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INSTRUCTIONS: <br />(s) It Nu 1" is claimed by a firm or corporation, state here that afflaxt is a member of the firm or <br />o" capacity in the corporation.' <br />(z) StateWere whether verbal or written contract. If written, attackcopy, or lies is void.- <br />(3) "Erectiox," "Construction," "Alt&'ation," or "Repair," as the'easi'may, be.' <br />,,(4), Hcra insert ,c0i'M t legal description of land. <br />4�,�,J*Aw-,kbar,awd, soterial, were furnished the contractor and not the owner direct, state "that: ............ <br />okrs`;the''contractor on said bidding and acting for the owuer!, <br />"I say "said amount is further evidenced by a promissory note, a copy of said mots <br />and marked 'Exhibit B'." <br />2, <br />C= <br />3 <br />T. C-- <br />C) <br />co i�, _ <br />00 <br />