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<br />\;'J.~;;Z:~:;;~{ <br /> <br /> <br />INSTRUCTIONS: <br />(1) If the lien is chlilflcdbyajirm or corporalUm,sl/Jte .MretMt af!iamisIHl&emffloftM~io/':~:f~> <br />ofJiciah:/Jpaeil1in thecorporalion... ..... . ., ..... ..' , ". ...... . ........'.. . . . , <br />(2!)S16te<lid# tiiIt'elltW'ltHfial tw 'lliritttltl. c~, If~;'Mtaih1:0PY, .twlittf.irWid; <br />(!J) . uE.f!pcti<m/~ . uC(Jffst~/' "Altert!-ticilf/~' 111'.." Re,iM,"as:tlt#'~1Ifl1!YJ;1;; <br />(4) Here inHrt c/Jl'l'uct J.eguJ descriptio,. Qf la.#d. '.' . . . . i.' "'<'i <br />(5) Ifth/.1labor and IMtiriaJ were f!4r!fblt~ the c(JfJ:ffl.Ictorg,ml~f1h,f!"~ <br />.wosthe confrtu:1or /}If said buitiHng an4!1dingforthit~!,'H . ......>.L. <br />(.6)...IJ nt1~.!ras,.beeaf}iwa,MIy',," $!!!d.. _~....4V1'i~.evid~jJil;JlyiJ.~'~~'ii;,. <br />being.1urnttJaIIach-ed"an;t tlKIrked 'Exhibit B';" <br /> <br /> <br /> tr) <br /> C\J ..,)U) tv') 1. <br />t ...... '3-- (V) <br />i I"~ ,~ 'i <br />Q) = '~ '\,..-',.! <br />~ 1.1)(' llij~ -1 c':. <br /> ~ J ~. <br />\ o 11.lG; .::i = ',<,~ l.L' <br />C <br /> .'W -=c \'N 0.:. <br />o jlS"~;Z "'" = ~.; c <br />Q Je;:;u.c , <br /> ~ -e a' =' 0 >- ~ c <br />I -t:2 Z:w i- :::J:; " L;.; <br /> <:::> r~ "" <br /> ....z = <br />1 ~ <( :::> V\ <br /> .... 0 <br />00 (/) <:.::> ;0 <br />Ji> <br /> <br /> <br />~ <br /> <br />