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~. <br />{' <br />INST'RUCTIDNS: <br />'- (r) If the lain is claimed by a firm or corporatiax, state here that a~aant is a member of floe firm or his <br />o~cial', capacity tin the corporation. <br />„ (,z) ~tAte ,Mere, xtrhetller verbal ar written. cor7Pract. If wriECera, gttach copy, or Lien is vaid. <br />C3) `"Erection,,, "t:ansiructiox,» "A'lterataon," or "Repair,"' as Elie cart may 8e. <br />(¢) Flzre insert correct [egai descriptiox of land. <br />(3) If the labor and mat¢raal were furnished the contractor and xat the owner dared, state "that .................. <br />was the c.,ntrattar on said building and acting for the owner." <br />(6) If Hate has been given, say "said amouxt as further evidenced by a promissory xote, a copy of said note <br />~ beaxg hereto attached and marked `Exhibit B'." <br />t-i! <br />'~'c:~ <br />1 <br />_ ~ ~~ <br />'~ '~'`~ <br />~` <br />s <br />~~_ <br />`--.~ :~ <br />c ,~` "~ ct's'c-i <br />~~ p <br />~ ' <br />M3f ~ 4~ ~ N <br />_{~.. r~ -..a i. ~ <br />G c{ ~ '`' <br />r! ~ ~V <br />u ;V ~ ~ is <br />n m q ~ ~, ~=- ~ w <br />., ~ ~, <br />~ '~..~ ~, <br />~ ~ rte.". e~ <br />-... w <br />