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INSTRUCTIONS: <br />(r) If the lire is claimed by a firm or corporation, state here that afiiant is a member of the firm or his <br />ofiiicial capacity in the corporation. <br />(a) State here whether verbal or written contract. If written, attach copy, or lien is void. <br />r(3) "Erection, "Construction,,, "Alteration," or "Repair," as the case "ray be. <br />1 (4) Here insert correct legal description of land. <br />(5) <br />If the tabor and "arterial 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 :,ote luu been given, say "said amount is further evidenced by a promissory note, a copy of said note <br />being . hereto attached and marked `Exhibit B1.11 <br />CD <br />ac ca <r <br />i <br />Woo 3 V � v <br />A <br />