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~`~ <br />i_NSTRUCT"iONSr <br />{r} i# the liss is claimed by a firm ar torparatian, state here that ajfwnk is a ms~er of the firm or his <br />affuYal ~apaeitydn the earporation. <br />(x} Stoma h>re xuhether verbal ar ;imitteta contract. if vlritten, attach copy, or lien is void. <br />{z) "Exettian;" "~m;structian," `•fl:terataan," ar "kepair," as tare true may be. <br />{ 4~- Mere ikuert correct delta! description of land. <br />{g) If the labor and €nateriad were furnished tke contractor and na# the avrner direct, slate "that--------..----- <br />was !ke can#r-atfar an said buadd{xg-and actindt fur tka owrrer.•' <br />(4) If note has bees rirs-ren, say "said amarrnt is further evidenced by a promiuory note, a copy of said Hate <br />baing:liereto attached and mar#ed `Exhibit B':' <br />~~ <br />_., . ~; <br />~5 <br />~~J <br />~~ <br />y <br />~\ <br />..~.1 <br /> <br />', <br />y~~, ~ m s. <br />~ <br />~ <br />"F <br />E ~ <br />., <br />~ <br />^ , <br />' ~ a <br />~ <br />~ ti.. n <br />' ' <br />' <br />Ca +i <br />,: c:i :.v ~ ~ <br />~ <br /> <br />t2~ s. <br />C <br />L <br />u,. <br />t ~tr,, cs <br />p ~" re <br />W <br />t <br />~ ~ <br />- <br />~ <br />~ tffi <br />Q <br />. <br />. <br />~ <br />Kt 47 ~ <br />w <br />