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<br />INSTRUCTIONS: <br />(t) If ihs lien is claimed by a firm or corporaton, state here dhat ajfrant is a member of the firm or his <br />ojjcial capacity in the corporation. <br />(a) State-'here whether verbal or written contract. If written, attach copy, or lien is void. <br />{g) "Erection," "Construction," "Alteration," or "Repair," as the ease may be. <br />(¢) Hera insert correct legal dtstri¢tion of land. <br />(SJ If the labor and material were furnished the contractor and not the owner direct, state "that .................. <br />was the contractor an said building and acting for the owner." <br />(6)- If tu~te has-bean given, say "said amount is further evidenced by a promissory note, a copy of said-note <br />beeng°hereto attaeked and marked `Exhibit B'." <br />'~ <br />Z <br />`^ <br />I <br />i <br />~ <br />~ ~ <br />~ n <br />S <br />' <br />~ ~ G <br />{ p <br />Up <br />V ~ <br />i1 {{ w <br />i <br />.. ~ _ <br />~. <br />,y p ~_ <br /> <br /> ~. E~ .~ <br /> <br />W <br />;.a ~ c'~ <br />m <br /> <br />~` ~ J <br />'~ ~~ v,~ ~y ~g <br />)",00 <br />~'.~ ,_y ,~~~ <br />, <br />~ <br />` <br />~© <br />\~ <br />~~ <br />1 ~, <br />~~ <br />