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~ _. _. <br />;:.; <br />I h STRdiCTIONS: <br />{j) If the lien is rtaimad by a jsrrn or corporatioie, state-tors the amt is a member of the ~ or hit <br />a~itiat capacity sx the torporatian. <br />Via)' State & cokethar verbal ar written crmtract. I~ wiittett, attack ropy, or lien is void. <br />€~} "Erection,"- "Gorrtrnuctlon," "i4lteratimt," or "Repair;' at tke teas xcay be. <br />f4) Hers insert cmrest-dual destriptirnc a/ land: . . <br />` (5) If the lab¢r and material ware farrast~C the- contractor and xoE the omrier direr€, slats tTta3_:::_._....__:e <br />- ~v+r the ta~rtractor an said bu+iding: and actiftg #or rka aw~rtr' ; <br />£dJ: l~ ~raata l~at=5aen +,, may.'!~id-s:waamt it_fwtkar evidesresd-by a.¢roa~ssocy trots, a~ca~ysaid Wort <br />` bar}eg' hereto "attached marked 'Exkibit B'.° ~' <br />`{s <br />`~ > .~ <br />_.. ~ <br />~~~ <br />.~~ <br />~~ <br />{ ~~ <br />~ ,. <br />.._ o <br />~. ~~, -- <br />b ~ ~ Q «, ri <br />Q~ <br />G ~` <br />~ ~~ ~ <br />~~ <br />