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<br /> <br />INSTRUCTIONS: <br />(1) If the lien is cmimed by a firm or corporation, state here thai affiaHt is a memb" of the limor his <br />official capociJy in the corporation, <br />(.iF Sti>te'litTe whether verbal or written cOHlract. If written, al/ach copy, or lien is void. <br />(J)' "IJ;,.ec#Wn," "CoffStn<<tion," "AltemNon;# !W "Repair," as the case m<Jy be. <br />(41 Hereinsmcorreci te!JfI/ destriptioH of land. <br />(SrIfthe labo1' and matfflGlwere fllmuhed the conmutor aHa I<()t the owner direct, stati"that..m...",..'"" <br />_ the cont1'Mtor 011 saidlmildiK9 aKa acting for the oWner." <br />(6j.lf'Mtif,lmr-u-,gjwn;.My' "said amottntis furthereviaelludby a promUsorytWte; a copy of said note <br />blJiWf!'lIlirittivattiJeMdlHld, marked 'Exhibit S':' <br /> <br />