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I.S'STRUC2'I.'3IJS: <br /> (z) If thr lira is ctaimrd by a j9rnc or corporation, state here that afjiant is a member of flee h~ cr less <br /> Df~iCMl tafractty ttt the Carp¢Tatian, <br />- (zj 5`tate irrre w.ietker verbal or written contract. If written, attack copy, cr lien u void. <br /> F3) "Errctian," "Constrxrctian," •`.sittera#imt," ar .`Repair,:, as tke case nsey be. <br /> (¢) Here insert carrrct legal description of laid. <br /> (Sf If tke Isbor and material werr furnished flee contractor and-not thr owner direct, state "tkaL----- <br /> - <br />:ixit flee contractor on said b2alding and acting for the oumer.,: <br />- ----------- <br /> <br />~~ (S) If <br />note leas been given, say "said amount is furtker evidenced by a praraissory note, a copy of said note <br /> ,itein9 hereto attached and marked 'Eskibif B'." <br />~ . ~ <br /> : <br /> <br /> . <br /> <br /> :1 <br /> <br /> <br /> <br />~ <br />~ g <br />g ~ ere <br />~ :w~ ~",~ ~ <br />9 { ~''v <br />-J'~ <br />~ <br />~ ~' - G <br />i~ <br />, <br />Ll ~ ~^,~. P7 tG ~ ~~~ ~i <br />c ~ 192! - <br />! O <br />ns. ~ <br />~~ .Yt ....~ ~ - tai. <br />~ <br /> <br />m ~ _ ~ - tit <br />r ~r rr <br />~ va i <br /> ~ <br />c <br />u <br />m c°a o°e <br />~- <br />