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~ r~vs2~RUCnaxs: <br />E (r) rf Jhe !i¢ax is claimed by a firnc or corporation, state here tkat a$tant is a member of the j~rm or kit <br />- aQtriat capacity in fke corporation. <br />(a} state here wis tker verbaS or zvritten ros#raet. rf written, oriarh copy, or tier is void. <br />(I) "Erection," "Constructross," "Atter¢tioh," o- "Repair;' as the rase may be. <br />-- (q) Here insert correct 7cgat description of land. <br />'`` (S) rf the tabor axd materiat were fxrrasked ih¢ contractor and not the avmer direct, state "that-------------_._ <br />znas tke cant actor on said bsatding and acting for the azcmrr." <br />(bj If siaYe has been given, say "said anwant is further evsdenced by a promiuory note, a copy of said note <br />being. hereto attacked and sharked `Exhibit B :" ,~ <br />- <br />~~•~, <br />'' \\ ^J <br />- - - - 4~~ <br />y a~ m ~ c~~~ <br />n m <br />s~ <br />~ pia "' L µ-'y' ~ ~y ~ <br />'~; .m ~, ~.~ 'ary <br />t <br />w <br />