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79005960
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Last modified
1/13/2010 5:30:14 AM
Creation date
1/13/2010 5:30:08 AM
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DEEDS
Inst Number
79005960
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<br />INSTRJCTIONS: <br />(r) If the lien is claimed by a firm ar corporation, state here drat a8iart is a member of the firm or his <br />o~iciat capacity in the corporation. <br />(~) S'tate here whether verbal ar written contract. If written, attach copy, or lien is void. <br />f3) "Erection," "Canstructian," "Alteration," or "Repair," as the case may be. <br />(¢) Here insert correct legal description of land. <br />(5) If the labor and materiad were furnished the canractor and not the owner direct, state "that.._..__...__.,... <br />was She contractor an said building and acting for the owner." <br />(6) If Hate has bean given, say "said amount is further evidenced by a pro»eissory note, a coQy of said note <br />Being hereto attached and »wrked 'Exhibit B :" <br />G ~_; ' <br />S~ryryy i W <br />_ - V p- ~ Y <br />pq~~ ~ M O V <M <br />V e~ N ~ ~ <br />~ ~ yy N ~ <br />C U If! N ~ <br />ar ca <br />~ ~ <br />c .~, <br />\~'~ ~ U <br />~~' 711 ~ ~ ca ca ~ <br />io Z <br />t <br />~, <br />~'_ <br />
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