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<br />INSTR'UCTICINS: <br />_-;:,-{1) _If- tha lien is claimed by a f rm ar rorporatian, state kare that aQ'iant is a member of the f~rn~ or his <br />ofJiicial capaeit~ in the corporation. <br />{~} Stats hers whether verbal or written can#ract. If written, attach copy, or lien is void. <br />{3) "Erection;" "Constructiow,,, `iltteration," or "Repair,,, as the case may be. <br />{¢) Here inaerl correct legal description of land. <br />{31 If the lobor and material. were-ftirnvhed the eontmctor and not the owner direct, state "that .................. <br />was the contractor on said - banding and acting for the oguner.,, <br />{ti} If note has beta given, soy "said amount is farther evidenced by a promissory note, a copy of said note <br />9 hereto attached'-away marked 'Exhibit 13'." <br />~~~~ <br />~•.~,, <br />C. <br /> <br />~. <br />. <br />- r <br /> , <br />4.-_.,, ~ ~.., <br />. <br />, <br />,; t,~ ~` - <br />e <br />~ <br />~ <br />~ <br />~' A ~ ~ <br />: <br />~ <br />' . <br />~ <br />y7 _ <br />y <br />~~ <br />~,, <br />~'."y~ <br />{ C5? . .. 1. <br />~. ~ c `_ ~ ~.~, <br /> <br />~ ~. ~ .... - .i9. <br />~/~ <br />B <br />J- <br />i'ti <br />_ <br />` <br />~~ ~+ i <br />- ' -.._1.~' ~~ <br />1 <br />~ -. Y <br />f <br /> <br />~ <br />t <br />~ Ij <br />~ <br />1~ <br />1 a <br /> <br />a ` <br />~ <br />c <br />w <br />'^ E ~ <br />' <br />~y t( <br />~ ~ <br />~ j <br />n <br />~ x <br /> ( i <br /> <br /> <br />~ ~ ~ _ <br />~~ <br /> ~ R <br /> ~. ~ ~~ ~ <br /> ~ tt <br /> ~ k; <br />yy ~ ~ r <br />~ <br />f~ j Y <br />~ <br /> IIIII ' r <br /> <br />ii <br />~ <br /> <br />,~ <br /> <br />~ ~.' N <br /> <br />•~ ~ <br />'' <br />ti i <br />(' <br />~ 0 <br /> I <br />~1 ~ ,~. .~ ~= 1 <br /> <br />] ~ ~ ~ -~ ~ <br />