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INSTRUCTIONS: (t) If the lies is ylairned by a firm or corporation, state here that a8iant is a mtmber of the firm or his ofJitiol capacity in the corporation. (t) State here whether verbal, or written contract. If written, Attach copy, or lien is void. (3) "Erection,;' "Construction," "Afteration," or `:Repair," as the case may be. (¢) Here insert-correct legal description of laud. (5) If' ttie tabor and' ntatsriot were- furnished- the conhactor and not- the owner direct, state "that-:. ... was the caneractor ox ;aid building and erring for the gamer." (6) If note luu been given, say "said amoxnt is furttierevidenced by a promissory note, acopy of -said aiota bei+tg Jbereto attached gad tiuirked `Exhibit li :" ~q, . _< ._ ,- tl 1~ ~ ~,,, Z „~.. N ~ c {~ ~`i 3 ~ ~ ^- _ ~ s us = ~ ,~ i:., ~... ~ .r r ~. a. c ,~. a`4 ~ - o -~ ~o ~}