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<br />INSTRUCTJQNS: <br />(t) Jf the lien is claimed by a fiirm or corporation, state hire that affiant is a member of the firm or his <br />off~eial capacity in the corporation, <br />(2) Stat6 beta whether verbal or written contract. If written, attach copy, or lien is void. <br />(3) "Eractiox," "Construction," "fllteratiox" or "Repair," as the case may be. <br />(¢)-Hera insert correct legal desrri¢tion of land. <br />{sj If the labor and material :were furnished the contractor and not ehe owner direct, state "that .................. <br />was the contractor on said building and arcing for the owner." <br />(6) !f note has been given; say "said amount is further evidenced by a promissory note, a copy of said note <br />being hereto attached and marked 'E.rhibit B'." <br />~\ <br />0 <br />Z <br /> ~ N <br />~ <br /> ~ <br />o ~~ i <br />o ~. ~~,~_ <br /> . <br /> ~ <br />N R <br />~ J ~ G n. <br />~, N = - <br />,~ ~ - <br />0 <br />CO <br />h: <br />C <br />Tr <br />t <br />n~~ <br />l ~ <br />.~~ <br />~, <br />1„ <br />~'~~ <br />1 <br />i '', ti <br />_~_U. <br />3 <br />