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<br />INSl'RUCTJOA'S: <br />(I) If the /lien is claimed by a; f.rm ar corp'Jration, state here that affiant is a memlier of the firm of' his <br />o fficiaJ capacity' in the corporation. <br />State here whether verbal or written contract, If ~t>rittell, attach copy, or lien is '{.laid, <br />"EY;Jl:tWn;' "Constr1l.Cfion," "Altffation," or "Repair," ('<oS the case may be. <br />. Here insert C01'rect legal description of land. . <br />If Oie .ll~bor a;nd materia! were furnished the contrlUtor and not the owner direct, state "thaC.........,...... <br />~vas t1~e comrador on said' building and achng for ihe o'wner." <br />If notl' has be/Jn gi'[.'1'1I, s&.y "said affWunt is further l!'Vid,enced by a promissol'Y note, a copy of sou note <br />b,>illf; J~freto attached andmarke;j '1iJ:hibit .ft'." <br /> <br />~~. <br />1 to ~ .7" <br /> "" <br />108. cYl <br />is ,-......... <br />~~l~ ;'./ <br />10 ;,,',.. I <br />,::I '" \\ . 'l~~ I <br /> :c \.~:J ,,,,I <br />.... ~~ "-.u <br />10 . . ". ~J .. j <br />"'2 . ~: ~ii:. ~..... <br /> .. <br />:>>. , '- ~" l .... '0 ,:..;,'1 <br />~ ." (l) ;..~~' <br />C ''\l .- .....: sc <br />loW rt) !,IJ ~~.- ::::it <br />"z.:; 1-<. .'"":) <br /> cg ""l <br /> , '0 '1"1") <br /> <J!) '<J> ... <br /> ." <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />;0 <br />~ <br /> <br /> <br /> <br />