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r <br />INSTRUCTIONS: <br />irJ If tht lisp is claimed by a fRr~n or corporation, state here shot a8lant is a nsenaber o/ the frrm or hir <br />o}~scial rapacity in the corporation. <br />(tj Slate hart whtthtr verbs! or sr.re~ittsn cantrart. If written, attach copy, or lien is void. <br />(~3 ..F,...,,~,,, ue ;t.~~,...,., ~..~~.......,» ~ ..Ram,, na tma ~aie,~uy aa. <br />(gi Hers instrt correct legal descriptiac# of land. <br />(5J If tit labor axd vnatcrial wtrt furnishsd the rantrartor and not the owner dirtrt, state "that .................. <br />was the contractor on sold building and orting for the awntr." <br />(bj If Hutt-has bran givt~a„ "load amuxnt is furthtr svidenrsd by a projnissary nos, a coP3r of said note <br />htreto attachtd. and jnarked `ErlriBit R :" <br />J <br />