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INSTRUCTIONS: <br />(r) If'1he lien is claimed by a frm or corporatio», state here that ajfiant fs a member of the firm or his <br />a capactit~={» tke corporatio»: <br />{t) State byre tvhetlier verbCl or smitten contract, If zoritte», a~t~:h copy, or iien is void. <br />(~) "'Esectios," "Co~,ctrurtion," "~Ilteratian," ur "Repair," as the case may be. <br />(¢) Here-iKSerf carre6t legal destription of land. <br />{st If the labor a»d fnateriot sver`e fiitieialted-the contractoru»d »ot the o°.tmer direct, state "that .................. <br />soaa -the contractor on said building--and. acting for the oamer.» <br />{6} If Hate- has been .g;sre», say "said amau»t is further c^vida»ced by a promissory note, a cagy of said »ote <br />btiAg hneto attaeli¢d and snarkad``Exhibit B"' <br />~n ~ <br />~- <br />:y <br />,q <br />~{.- ~ <br />3- <br />i~ (~ - <br /> <br />~: _~ _ ~.~ <br />% <br />~ <br />S <br />-, <br />~ <br />r <br />~ <br />~ <br />~ .. <br />a. <br />~ ~ <br />~ <br />.. ~~.a <br /> <br />ars:,~ case-~ ~ ~ `_~ <br />~. <br />p ~! ~ t <br /> <br />~~ v <br /> <br />} f! <br />f;_. ~ `m <br /> <br />_ ! ~{- <br />~ ' <br />~ s ~ a ' : <br />y ~ <br />' <br />! r-- <br />. ~ . <br /> <br /> vl e C <br /> Lr <br />° to ~ "J <br />3 <br />S ~ <br /> ~ ~ rte <br /> <br /> . ~.. S. „ <br />i <br />2 ~' <br />~ .~ <br />1FF~ <br />~ <br />` <br /> <br /> }$ <br /> ~ ~€ ~ °Lt rt <br />£k ' <br /> <br /> <br /> 4 >vey ~ ^% <br /> <br />i <br />~. ;1 <br />z <br />J <br />~ ,-., <br />~~~ <br />? ~ <br />fit.. <br />i ~ <br />,i , <br />`\ <br />