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r---- <br />;t ! <br /> <br /> IIttSTRL~c:T70 ~.'S: <br /> (11 If ihr dieac it daitned Gy a jirm or corporatian, state here that a~iant is a snemher a{ the zrm a r ?sis <br /> a~ciat tapncity in the eorperation. - . <br /> {z) Siata krra ~shether verbal ar .arittex caxlract. If written, attach tapy, or liex is void, <br /> {~) "Ereriian," "Constnrction,» "rtdteration," or "Repair" as the care +n<zy be. <br /> (¢1 Here insert correct legal deresiptiox of land. <br /> {51 If the labor and materiat z¢.~ere fnrxished the contractor and xot the owsser direct <br />state "that <br /> , <br />_...-._ <br />war the contractor ox said bxilding and acting jor the owner," .....-_.. <br /> <br />~ l61 If hate has been given, say °seid amount is furtker evidenced oy a provnisssary note, a copy of said rate <br />~ bei~-kareto attached and marked `Exhibit B"' .~` <br />* ~ \`S 4v <br /> 1 <br /> _Tj <br />~. .- -- <br />- ~ <br /> <br /> ~ <br /> y <br />1 a; , ~ e~+s '~ <br />~ ~ <br />z ~ ~ <br />m <br />~ ~ ~~T: <br />~' ~ t ~~~ eys <br />~ ca <br />~; ~ <br />~ <br />~ ~~ <br /> i <br />~ <br />~ <br /> k <br />~ ' !~ o v <br />~ <br />~~~.-m <br /> <br />~ <br />~ om s <br />~~ a <br />~ ~ ~' <br />~ <br />cu ~°w <br />s.. <br />