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INSTRUCTIONS: <br />('r) If the "M is claimed by I frm or corporation, state here that a <br />how. #jant is a member of the firm or his <br />orpora <br />Or 2***ex contract. If uIrittew, attack copy, or am is void. <br />"Alteration," - "Repair," as the case may be. <br />gat <br />(5) It the labor and description of land. <br />material were furnished the contractor and not the owner direct, state "that._....._........ <br />was the contractor on said bxildipw and acting for the owner." <br />If kas been give"' say "said amo"t is farther evidenced by a promissory note, a copy <br />being hereto attached and marked 'Exhibit B,.,, of ad mom <br />Mh <br />Ln <br />J'S <br />CM <br />Cn <br />6 <br />GJ <br />C= <br />Mh <br />J'S <br />4 <br />