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r-- <br />1 <br />__ <br /> ~... ," <br /> (i} If the [fern is-r[aimed by a firsn or corpomtian, stete here that a~imtt is a »sembet' of the firm o~ his <br /> vffeeie[ ihpar'«•y=sn the corporation. <br />'- (rJ S'tate here zakether verbat arivrttten contract. 'If uTitten, attach copy, or Lien is void. <br /> (3j .."Erectimt S Gnnstrnction,,, "A[teration,~' or `Repair," as-lice case may be. <br /> (¢j Here insert correct7ega[ description of land., <br /> ,rjj ff the Iabar ari~.»soterisa[ zcera furnished the contractor acrd iwt:the artmer direct, state =`tkat,_____~_.__ <br /> _ -,vxrs the Gontrgttos on soul Tiuitding and "acting far the ozaner." <br /> (6) If'note"Tray been -given, say (`said amount i; further ev[denced by a promissorynote, a copy of said mote <br /> h~z~~ tiereto attached arui marked `Exhibit B", <br />4t <br />~~ <br /> <br /> _ _ ~, <br /> <br /> Z ~ ,:, <br />t <br /> [~- vz o ~ <br /> <br />~ ~ <br /> -N ~'"~ C+s - i - <br />~ hq ~~-- - <br />' <br /> <br />1 t.t~l <br />~ ~ T_ ~ <br />- <br /> <br /> ~ ~I~ ~ __ <br />cQ 5 .q ' <br /> <br />y <br />'°..s ... ~ . <br />ci <br /> '33 '. a ~ ~ ~ __ ;~ <br /> '~~ c ~~ ~- <br />