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<br />INSTRUCTIONS: <br />(t) If the lien is claimed by a firm or corporation, state here that affaanE is a member of the firm or his <br />official capacity in the corporation. <br />(z) State here whether verbs! or written conhact. If written, attach copy, or lien is void. <br />(j) "Erection; "Construction,,, "Alteration," or "Repair" as the case may be. <br />(q) Hert insert correct-legal description- of land. <br />(g) If the labor and material were furnished tke coxtractor and not the owner direct, state "that .................. <br />was. the eotttractor on said building and acting for the aumer." <br />(6) If note. has be¢n given, say "said amount is further evidenced by a promissory note, a copy of soul note <br />being Iwretn attached and marked `Exhibit B':' <br />_. _ <br />O <br />Z;~ ~ <br />^~ <br />~, <br />o !if .-..... ~ ~? <br />s <br />~ t0 ~ <br />s" <br />~~x c <br />Q ~ : ~ <br />~ f- a- ' e: <br />N <br />A ~ ~ ~ <br />~ <br />er ' <br /> <br />~ <br />en`~ <br />f~ <br />~. ~;.Y~ I~ _ <br />c` . ~, aa,. <br />~ -~ <br />Z <br />~. <br />-~ ; <br /> <br />~ <br />!~ i <br />~a~ q <br />G Q3 <br />