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IAISTRUCTI('~ir'S: <br />(t) If tha ties is etrximed by a jam or torporatsan, state here that ¢~iant is a memb>r of !hs firm ar hir <br />o~uiat rapaeity iat the corporation. <br />fzj S'tstt here wt6ethsr verbal or written contract. If vrt#sn, attcrh rotsy, ar fisn is vaid. <br />!dl "Errrtios;' "Conxtrxrtian," "Attrratian," or "Repoi!" ¢s the rasa Waxy bs. <br />(¢j f{ere inser# rorrec! legal dsstription of 7arsd. <br />(~J If the tabor ¢nd material wars furnished tks contractor and xot the mercer direct, sGa#e "ihat ..................~ <br />was the contractor nn said b>~di~tg and acting for the ozrmer." .+.,~ <br />(6j If mote lass- besre giver!, say "said anwun3 is furlher euidenred by a prarr&issory note, ¢ copy of said nots <br />beirrg hereto altarhed and marksd `Exhibit E :" <br />~~ <br />,~ <br />,_ ~'~~ <br />~`~ <br />N <br />r-:v <br />t ~ ~ ~~ <br />r~ ~, ~'~ ~ ...,.- <br />a e.o va <br />y ka. <br />~, :. ~ ~ ! 2 ~ id7 O <br />uCa ~ q ~. <br />~ ~ <br />w <br />