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<br />INSTRUCfilC}NS: <br />(t) If;ehe lien is rlacr[sd by a f»n or corporation, state here that want is a +nember of the firm or his <br />ofJ~tial eapacily in the corporation. <br />(zJ Stpte hers zahether vei"Hat or writtan con#ract. If zarittsn, attach copy, or Iien is void. <br />(,~) `Ersction;" "Conshxction," "Alteration," or "Repair,,, as the case nay be. <br />(¢) "Hers insert correct legal description of Land. <br />f5) I f -the labor and. material zvsrs ftiiw%tihe~; lhs -inntractor aiid not floe Darner direct, state "that ... .............. <br />was . tAe coxtrartor on said: building and acting. for the ou7ser." <br />(6} If;note luxr been given, say "said mount is further evidenced by a promissory Hots, a copy of said note <br />beitt~ 'hereto ~ttacJ~cd Dial mar#ed '`Eslcihit &'." <br />?~-M~` <br />~`~t <br /> ~ ~~ <br />4 ~ w = <br /> i@: s <br />... , ~ ~: } <br /> -~ ° <br /> <br />( ~ - <br />~~ <br /> <br />h <br /> <br /> ~ <br /> g.~~ ~ ~ ~ t~ <br />~,f <br />*~y 1 <br />~" %c ~ # <br />S ~" tat <br />t~ '' 'J <br /> <br />w3 yy~y~ £..Cf <br />~ <br /> W "-s ~ .~ ti -~\ <br /> ~! <br /> ~, <br />' <br /> ` <br /> ¢ ~ <br /> .. ` :v ~ ~fl <br /> !S <br />~ K <br />~ -^s. ~ r <br />.. <br />~ S~ <br />6. '~ ~ C' <br />9 <br />~ ~ fj <br />j `;~ u <br />'i <br /> a 4 <br />a g r 3 <br /> _ !' 3 <br /> +.3 't om (1 i; <br /> ts <br />~ ~ t <br />jW <br /> i~ <br />- <br />F{ ~ ~--- ~~ <br />t` ; <br />7 <br /> ~. x <br />~ ~ ~' i. <br />~~ <br /> ' ~ ~ : <br /> ~~ <br />- ~ <br />~ w, ; <br />+ <br />~ s <br />} <br /> ~ '~ <br /> ~t ~: 4 j; <br /> '~ ~ <br /> - i; <br />y <br />I? <br />~. <br />~ ~' <br />::, <br /> <br />~ <br /> <br />~ <br />