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INSTRUCTIONS: <br />(z) if the lien is claimed by a firm or corporatio", state here that affiant is a member of the firm or his <br />a" capacity in the corporation. <br />State here whether verbal or written contract. If written, attach copy, or lien is void. <br />(3) "Erection," "Construction,,, "Alteration or "Repair," as the case may be. <br />(4) Here insert correct legal description of land. <br />(5) 11 the labor and material were furnished the contractor and "at the owner direct, state "that.. ................ <br />was the contractor on said building and "ling for the owner." <br />(6) 11 note has been given, say "said amount is further evidenced by a promissory note, a copy of:said note <br />being hereto attached and marked 'Exhibit W." <br />C= <br />< <br />CD <br />C (M <br />Cl <br />C'M <br />Ln C-9 L4j <br />CZ co <br />cc) Lr2 -j <br />C= <br />V) <br />CD <br />E0 <br />7 <br />r-4 �1 <br />CZ+ <br />Q <br />CNJ <br />4°i fa 00 <br />