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<br /> <br />t <br /> 1 TSTRliCTIQNS: <br /> (r) Tj t:sC lien is ctaixted by a firsn or corporation, state here that a~iaxt is a member of the fmna or his <br /> c~cial capacity in the corporation. <br /> ,(r, State here zvhetRer verbat or written contract. If a.~ritten; attack copy, or li¢n is void. <br /> r"z1 "Ereetion," "Construction," `Alteration," or "Repair;'' as the case may be: <br /> (Zj Here insert correct legal description of land: <br /> (j i If the labor and inateciat were furnished the contractor and not the'oamter direct, state "that ....._:___.. <br /> was the contractor on said building and acting for the Darner." <br /> <br />`' fb) I f note dtas been given, say "said amonnb is ,'urther evidenced by a promissory note, a copy of <br />b <br />i <br />` <br />' <br />' said note <br />,~ e <br />ng hereto attached and marked <br />Exhibit B <br />: <br /> <br /> J <br /> ' _^ ~~ <br /> ~. ^ <br /> <br />~ ~ It k~~ ~ w c '~ ~ ~.,~ ~ <br /> rM ~ ~ <br />~ ~ •^ <br /> ~ <br />~ ~'Z C_-. ~U ~4. "~n <br /> ly <br />C7 ~ ~ . .y <br />~~ ~ ~~ ~ v,' .J <br /> <br />c~~ <br />U <br /> ' <br />ti C N i ~ <br />b `l <br />lea <br />~ ~ <br />cu ~ .Q ~ <br />v '' ~ ~ ~ <br />~~ ~ <br /> ~, ~ ~.: <br /> <br />.. <br />~ <br />~, <br />