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<br />r <br /> <br />IN.'.TRUCTIONS: <br />(;j If the lien is claimed by a firm or corporation. state here that affiant isa member of the firm or his <br />official capacity in the c!'~p-O!,(J..t-;"--;n. <br />(2) Sta;" here whether verbal or written contract, If written, attach copy, or lie.. is 'fluid. <br />(3) UErectwn/J IiConstruction/' HAlteration/J or uRe_pair/J as the-cOU-1JUI3'- be. <br />(4) Her" inSI'T1 ClJrrect legal de$cyipticn of kmd. <br />(5) If the labor and material were furnished the contractQ1' amInat theowr.er direct,suitl,UthaL_.-:-..,-_, <br />was the contra<:tor on said building and acting for the ttWner,'" <br />(6) I fool. 1=becn g;rJen, say "said amatmt is furthBrrn,ofdenced byaprimdssorynOfe:, <br />being jo"M'(;lo attached and marked 'Exhibit B'." <br /> <br />r <br />I <br /> <br />,(\ <br />~"': <br /> <br /> <br />v; Q <br /> <br />~, <br />'C) I I 1 ", <br />! ~ \~~11~~ <br />c (.cr"~ i ..;: ~_ <br /> <br />I ~ !! J~ ~~ <br />g , <br />; 1 <br />"1~ <br />"- <br />ill <br />"E <br />""' <br /> <br />;-~ ,:::.. <br />t;) (...) <br /> <br />L <br /> <br />en <br /> <br /> <br /> <br />,- <br /> <br />,~ <br /> <br /><-0 <br /> <br />"::. <br /> <br /> <br /> <br />C::J <br />,-......, <br /> <br />= <br /> <br /> <br />.....:r: <br /> <br />""" <br /> <br />, <br />'-' <br /> <br />.~ <br /> <br />