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INSTRUCTiDIJS: <br />(r) If the lien u claimed by a ferns ar corparatioq state kere that a$iasst u a member of the firm or his <br />official capacity in the corporation. <br />(z) State hero whether verbal os written contract. If written, attach copy, or lien is void. <br />{3) "Erection,,, "Conrtrxction," `illteration," or .`Repair" ar-the case may be. <br />(¢) Hese insert cornett fegat destriptian of-land. <br />{g) If the-labor and materiol were furnished the conNactor and not the ovmer direct, state "that--_.-_..---__- <br />was the contractor oa srad buiidiag and offing for the owner," <br />(6) If note -has been .given, say ".raid amount u further evidenced by a promissory note, a copy of said note <br />being,: hereto attached and marked 'Exhibit B, „ <br />~~. <br />Z p,. ~ u-' <br />Kf <br /> <br /> <br /> k ( -. <br />, <br />~- ` <br />~ <br /> ~, <br />~ ,av~ _ , <br />N ' <br />~,.~ :'.Y <br /> <br /> ((y~~ m ~ <br />~ <br />~ <br /> ^" . ' Z <br />ffE:~ <br />~... .~ ~ <br />