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<br />/.NSTR li CTIOIJS: <br />rr) /f the lien it chimed 3y a Jir+n ar corporation, state here that a(fiant is a member of the j~rm or Isis <br />ofjiciat capacity in the corporation. <br />(z) State ker¢ zohether verbal cr written contract. If zcritten, attach ropy, or lien is void. <br />I;} "Erection," "Constriction;' "AUeration;' or "Repnir," as the case nary b€. <br />lrj Here insert corn€et legal description of land. <br />(j) if the labor and material a=ere furnished the contractor and not the oumer direr!, state "fhat._._...._...... <br />wit tke contractor an said bni/ding and acting for the owner" <br />(6/ If note has Gcrn givan, say ''said amarnt is fwther ~+denced by a promissory note, a copy of said note <br />bring hereto attached and marked 'Exhibit It"' <br />~a ; <br />p <br />~!~ <br />~`: ~.`, <br />~ ~' <br />:1 r ~+'+ ti <br />^t w C <br />~ ~~~ <br />~ ~ ~` _. ~ <br />.~ p <br />~ _ <br />~ g _ ~ <br />c_ r'C ~ - <br />~' ~ ~ <br />W <br />