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<br />L~'STRUCTIONS: <br />i ~) /f the litx is claimed by a firm or corporatiox, state here that ajJiaxt is a member of the ferxt or his <br />ofJirial ca¢oritp ix the ror~orat%rm. <br />(aj Stote hrrt ttrhethrr verbal or .A•rittea roxtract. If te~rittex, attach copy, or liex is void. <br />/7) "F_rectiox," "Coxstrxrfiox;' "Alterotiox," or "Re¢air," as the rase may be. <br />(qf Here ixsrrt correct legs! dtstriftinx of laid. <br />!Sj /f the tabor awd matrriad mere fxrxi ksd the roxtractor and xot the owxe- direct, state "that._..._.__._.... <br />was the roxtrartor ox said bxildixq axd acting for the nrt~xer." <br />(6j If xote has beer givex, say "said amoxxt is Bather evidexced by a promissory xote,a ropy of said xott <br />beixg hereto attached axd marked 'f~xhibit 6'." <br />~ 1 <br />~/? <br />~~ <br />ti <br />o ~ ~~ o <br />z ~- i ~ ti <br />~, <br />~ ~ ~~ _. 2 <br />~~„~~~- <br />:~ ~. <br />`~; <br />o v ~ ~' <br />W <br />i <br />~` <br />