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<br />INSTRUCTIONS: <br />(rJ If the lien is claimed by a firm or corporation, state here tAat a~iant is a member of the firm or his <br />offsciat capacity in the corporation. <br />(21 Sta#e Aare :vhsthcr verbol or ruriften caritratt. If zoritten, attack copy, or lien is void. <br />(3). "Erettiof~" "Construrtion,» `:llteratinn," or "Repair,» as the cast may be. <br />(¢) Here iressrt correct dual description of Ia~td. <br />{~~.If the labor and-.material were furnished the cnntractor and not the osmer direct, state "that._..._...._...__. <br />war the contractor on said building and acting for the ou+ser." <br />(6) If note hat been givrn, sa_y "mid amount is f+<rther e,adenced by a promissory note, a copy of ;aid +wte <br />being Hereto attached and marked 'Exhibit Ts'." <br />~~~~, <br />=~ <br />t3 '"; ~ G <br />Z 1A _ ~' <br />`s ~ ~• .-- i`a <br />~ ~ S ' u' - <br />C _ <br />13 ` <br />^^+ ~_ <br />!_ - __ <br />rs { ~ m = t ~ a. _ <br />t ~ ~,. <br />"~ <br />~°' <br />:~ <br />_._ <br />f, <br />ks ~ ... _ <br />V C {? ~~ Xe <br />t~ <br />'. ~ <br />- <br />~ _A '~ <br />'7 1~ <br /> <br /> <br />~~ ~ <br />~ 4 ~ <br />' <br />II ~ i! -. C.i ~-i ~ <br />TTTYYY ~ <br />~ <br />ii 9 <br />-~ ~ <br />41 <br />~ ~ ~ ~ ~ <br />4 <br />II t1 ~ <br />~~ R <br />a O <br />ti C 1 <br /> ' ,'~.. ' <br />^' - <br />{' 7~ 9 <br /> { <br />1 tt y L 3 <br />~~ ' S 1f ~t <br /> - ~ 1 ~~ <br /> " <br /> ~~ ~. <br />'~ <br />