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' ~f1~lt ~ CTIG n.S: <br />`€} ~Nf' tt~_ IiBn is clairrEed by a firm or corlt:ka~rut:a~u, s!'ltte ,spree' dkra~t ,;,-want i~ n nat.~ier aJ t3ce jiirnec ar €,;`s <br />v'i~~*'~'••:-.~ CG ~1~ e~~a ~-rrJ~nrrzHrJr~_ <br />~.t j :. _ <br />(a} .state here mkether verbal or emitters taru'ratt. If n,•ritden, attach tap„ ar lies u void. <br />(d} "Erection," "Gonstruciion,' "tllteriition,°` ar `Repair," as the rasa nwy be. <br />l¢} Here insert correct legal description of land. <br />j} If tke 1,.3or and material were furnished the contractor and rot the ozemer direct, stale "that-....-.---.._-_ <br />was the tontrattor an said building and acting for the azaner:' <br />- (b} 1 j note l+~s bees givex, say "said asxcunt is further evidenced by %? firO~S3ory note, a copy of said note <br />being - herato .attached and marked `Ezhibit B :" <br />} <br />-4.~ <br />x=~ .... _. _. :_ ._ <br />ri <br /> <br /> <br /> <br />-~+. <br />~ ~ .-. cn v; <br />i G <br />„ ~ <br />~ <br />-#~_ <br />- tC J <br />rs <br />{Z~ ~ ra.t <br />- __ ~ .°- j2 ~ - W <br /> b <br />c ' a: ~ <br />Cs t~ ~ <br /> } <br />y <br />~. _. ~ <br /> ~ <br />~ U <br />~ <br />{ <br />+,,, , ^~' <br />~~; <br />~* ,_, <br />~_ } <br />-K-- <br />k k - <br />~~ `1 <br />~\~ ..~~ - <br />