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I <br />INSTRUCTIONS: <br />(,r) If the lien is claimed by a firm or corporation, state here that afflant is a ineinber of the <br />firm or his <br />official 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) 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 />(6) If note has been given, say "said amount is further evidenced by a promissory note, a copy <br />of said note <br />being hereto attached and marked 'Exhibit B'." <br />Z3 <br />m C <br />CO <br />I <br />