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`~ . <br />t~ <br />INSTRUCTIONS: <br />(r) If tke lien is claimed by a firm or corporation, stat¢ here tkat afj+ant is a member of the hrm or his <br />official capacity in the corporation. <br />(t) -State here wk¢ther verbal or written conNact. If written, attack copy, or lien is void. <br />(~) "Erection;, "Construction," "Alteration,» or "Repair," as eke cast may be. <br />(q) Here insert correct legal description of land. <br />(5) I f 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) I f noee hos been given, say "said amount is further evidenced by'a promissory note, a copyof -said Hate <br />being hereto attacked and maraed `Exhibit B'.° <br />,__._ ~ 1 <br />:~ <br />ai N I ~ --~ <br />.off 1 <br />~~ <br />~ ~ ~ ~ ~ <br />~; ~ j <br />y <br />`~ti_ r_ <br />_. C <br />~~ .,. v <br />vJ ~~ <br />~~~ <br />_ ~~, `'~ <br />a - ~ `V~ <br />~ ~ ~ `~h <br />2 .. °aJ ,~ ~ ~ a <br />F r~ <br />- `~ r" <br />N =', <br />m er <br />. ~ ~"`. <br />~ ~ . •~ <br />