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_ -_ .. _.: _. _...___ ..__ k <br /> INSTRUCTIONS: <br /> (rj If ihs lien is claimed by a firm or torporatian, state here tkat aj~ant is a member of the firm or hs <br />_ - o~uiat capacity ix-the corporation. - <br /> (z) Stara-bete whether verbal or written contract. If written, attack copy, or lien is void. <br /> (3) "Ereition,,' "Canstrnction,,, "tltteratian,,' or "Repair" as the case may be. <br /> (¢) Here insert correct legal description of land. <br /> (53 If the labor and material were famished the contractor and not the owner direct, state "that.._......__..._. <br /> cons the contractor on said bsrdlding and acting for the owner." <br /> (6) I f -Hate has been given, say "said amoemt is furtker ertidenced by a promissory note, a co¢y of said trots <br /> being hereto attached and marked 'Exhibit B'." .~ <br /> ;,. .... <br />~~ <br /> try ,~ <br /> <br /> <br />-_ ~ <br /> <br /> ~ <br />Z ~ ~ <br />^~ j <br /> ~ ~ <br />V <br /> t M _ <br />~, ~e~ 1 <br />. . <br />T7Q <br />U _ <br />4, ~ N <br />~. ~ E ~ ... - <br />e <br />w a <br />