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<br />' INSTRUCTIONS: <br />(r) If tke lien is clainsed by a firm or corporation, state here thaE affiant is a member of the firm ar his <br />official capacity in -the corporation. <br />(3) State hese whether verbal or written contract. If vmttsn, attack copy, or lien u void. <br />t3) "EYEttiari," "Construction," "Alteration," or "Repair," as the case may be. <br />(¢) Hera insert correct legal desaiptiox of land. <br />($} If tke labor and material were furnished the contractor and not the owner direct, state "that.............. <br />was the contractor on said building and acting for the awncr.» <br />(6) If note kosoean given, say "said amount is further evidenced by a promissory »ote, a copy of said note <br />5eing hereto attached and marke3 `Exhibit &'." <br />;x~` <br />{~ <br />u ~ i. <br />~~ ~ ~ ~ <br />w ~ ~ <br />~ ~ N ~ ~ z <br />- ~ m ~.~ iZ. O ~ m <br />~p G t6 y .~ <br />R CV N ~ -O m- a• <br />m X ~ --r .as V ° m <br />~~ ~ a ~ a;ca`r~ <br />d <br />' \ <br />~l <br />1_ <br />