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s <br />INSfi12UGfi1QNS: <br />(z)-If the fie» is chimed by a jsrart o>• corporatron, state here tkat a~asnt is a member of tht fir+n or his <br />o~iciad copacity in the corparatrare. <br />t2i~`Statc, whefker verbal or written corrHact. If written; attach copy, or lien is void. <br />(3) "Es+trtion;" "Ganstruction," °tfttera&on," or "Repeir° as tke case Wray Le. <br />F4J Xere ;nseri carscct fegat description of land. . <br />(5) If the tabor mad material wer¢ furaithed the rontractor and not tke owner direct, state "that.__....._._.__._ <br />tt~s the- toMracfor on said- building and actiur~ for the owner." <br />(6~- I~=mote-hat-been: git>gas, say "said-mnenrat is-#urt her evidrrued by a yronaissorq xote; a copy.a# said state <br />b649++J -hereto attached' card txarted `Eshibit B :" <br />