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<br />INSTP.UCTIONS: <br />(rJ If the lien is claimad by a Perm or corporation, state here that ajfeant is a member of the form ar his <br />ofjcia! capacity in the corporation. <br />(z) State here whether verbal or written contract. If written, attack ropy, or lien is void. <br />(3j "Ereetion,» "Construrtion,» "rllteratian," or "Repair," as the case may be. <br />(¢J Here insert correct legal description of land. <br />(5) If t+~ ~~ and material were furnished the contractor and not the owner direct, state "that ................, <br />was the contractor on said building and acting for the owner." <br />(b) I} note has been given, say "said amount is further evidenced by a promissory note, n ropy of said note <br />being hereto attaceed and marked `Exhibit B :" <br />_~} <br />ctj <br />u, <br />~ ` <br />4 <br />° <br />~ ~ ~ <br />~ <br />.-~ •< <br />E e-~t i r - <br />~ '~ r ~ _ <br />, <br /> <br /> <br />-g Qi c c3 Z ~ - <br />- ~ ~ <br />'~' <br />~ ~ O <br />- <br />sx <br /> <br />