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i/ <br />rxsrlrcrcrloxs: <br />- !p1 If tha Bert is claisud by a- finre or corporation, state here that a~sett is a ssnsber of the Jbsat or hit <br />o~eriat rapacity sn tF,r eorporatiox. <br />(tj -Stria here mhether verbal or unittes contract. If avritten, attach copy, or lies is void. <br />{3j "Erection," "Cosslractios;' ':4lleratios," or "Repair," as the coat seat' be. <br />(¢) Here isssrt correct legal description Df land. <br />(gj If the labor ~ tsateriat wrre fsrnished the castractor and sot the owner direct, state "that------°------_. <br />war the contractor an said berilding and acting for fhe Dorset.., <br />(6j If sole hat bees gives, say "raid ainasnt is farther eaidenced by a proarisaory sate, a copy of raid sate <br />lismg hereto attached and sea+ked `Exhibit B'-" <br /> 0 0~~+ ~ <br /> 2 -i <br />rn ~ 7 <br />~ C ~ <br />~ 0 ~ ~ <br /> <br />O (~( '~ - - ,~ ~ 3 ~, ~ ~ H <br />~ i~ <br />~ ~ <br />'O Z_ ~ ~`' m p <br />~ y I ~ m <br />CJ <br />e ~ ~, r w o <br />s w "' E <br />... '~ <br />~ <br /> tw ~ ' <br /> Z <br /> <br />.. ..... <br />r;C <br />