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79003175
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Last modified
1/12/2010 11:54:07 PM
Creation date
1/12/2010 11:53:58 PM
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DEEDS
Inst Number
79003175
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1NSTR7JCTIONS: <br />(r; If the lien u claimed by a firm or corporatiox, state here that at~axt is a member of the firm or his <br />official capacity in the corporation. <br />(a) -State here puhettaer verbal or zvri#ten cantroct. If zvritter., attach copy, or lien is void. <br />{3) _"Erect+ox,,, "Coxstructiox," "~4lteration,» or "Repair,,, as the case tray be. <br />(¢) here ituert correct legal description of laxd.. . <br />C3') If -the labor and material were fs:rnished tke contractor and not the owner direct, state "that ......:........... <br />was the coxtraetar ox said building aszd actixg for the ozwrer.» <br />(6) If note has been givex, soy "said arnouxt is further evidenced by a promissory rote, a copy of said note <br />beixrf hereto attached and marked `&xhibe't I? .,, <br />- ~~ ~ci~-Y!&t~ <br />~:L <br />~ .,P ,,.~,.,A x ¢!Y <br />
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