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' {i <br />J~ <br />i <br />IR'STRUCTIONS: <br />(r) !f tke-ken ss staimrd by a frrm or carparation, slats kere that af~ant is a msmber of the fcssn°or kis <br />o~tciat capatittg+ iri ttts carporatian: <br />{'a~ Staffs-hers ruhethsr ver6at or:ari€ten eoxtract. If zarittsn, attack-copy, or lien is void. <br />(xj "E~ection,'> „r'¢nsts~tinn,,, "ititerattion," or "Repair," as ehe roar maybe. <br />fgtj HeMe ntseR cotter! dercriptiast of rand. <br />fgj If tRs ta8ar and mateviat mere fxrxisked tke cowtraetor and tort Eke omner dir¢ct, salts-"that:.. ,......,_: <br />mat tke co.itroek+r ose mid baiddixg attd actirut for-the aumet." <br />{d} If note kas 6ecss gaven; say `.said amount tr furtksr e~ddenred by a promissory sate, a copy %aaid note' <br />bei~. ksre~n attached seed `marked `~,rtiitsit 9' „ <br />=Yw~ <br />„_ . <br />s <br />r <br />