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83006105
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Last modified
11/20/2008 9:07:20 AM
Creation date
11/20/2008 9:07:20 AM
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DEEDS
Inst Number
83006105
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<br />1 <br />::l <br />U <br />o <br />o <br /> <br />::: <br />:c <br />c::: <br /> <br />c,:: <br /> <br /> <br />r <br /> <br />INSTRUCTIONS, <br />(1) If the lien is claimed by a firm or corporation, state here that affiant is a .......ber of the finno"his <br />official capacity in the corporation. <br />(?) Statehde whether verbal or written contract. If written; attach copy, or lien is void. <br />(3) "Erection," "Constrw:tion," "Allel'ation," or "Repai"," as the case may be. <br />(4) Here insert correct legal description of land. <br />(5) If the labor and material were furnished the contractor andfltit <br />was the contractor on said building and for the owner." <br />(6) If notelws be... gWen, say" saida...o....tis <br />baing h...eto'attaclwd and marked 'Exhibit B'." <br /> <br /> <br />... <br />to <br /> <br />=r <br />('t) <br /><XJ <br /> <br />~J\ :;; <br />]..13'- <br />jl l~ r' <br />_!::_':' .'tv e" <br />~ g- = ~ -t~ ~ <br />Q) ~ z: _;.-< <br />u... <br />.:; :... <br />we- <br />t-; <br />.-- c-::> <br />0: c..,. <br /> <br />Ll"> <br />(V"> <br /> <br />l-n <br /> <br />"i <br />.! <br />c: <br />.... <br /> <br />:::;po <br />= <br />z: <br />(V> <br />0:> <br />~ <br /> <br />\ '. <br />, . <br />'-' .~ <br /> <br />L <br />
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