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85003023
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85003023
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Last modified
10/17/2011 9:29:48 PM
Creation date
4/1/2008 4:31:47 PM
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DEEDS
Inst Number
85003023
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r <br />INSTRUCTIONS: <br />(1) If the lien is claimed by a firm or corporation, state here that afflant is a member of the firm or his <br />official capacity in the corporation. <br />(r) 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 />(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 />(b) If 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 B'." <br />w <br />d c.7 X <br />N S <br />C ! w lVw �► F-- U 1i 7 —x <br />cgs U <br />�iMJ to <br />W a <br />i <br />i <br />
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