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Lf <br />INSTRUCTIONS: <br />(z) If t/re lien is clairrred by a or eorpesratiens; state here lkat aJjiant is a rrsember of tha fiiwi ar ttis <br />a~iat ta~atity ir. the aorparatisu. <br />f$l Smote J4~wf ~kether verbal or ctr torefratt, If u+riitteK; atfaeb cojry, ar Bert is void: <br />~ ~~ r ~~.~~„-..ty;.,,...._~.~ox; .~ .Jt. ~.`.'.n.;,. ~ ,.n'eyw:: " . ; tsa r~-e ;~ t~ <br />(AI Flcr:~r`xsert correct leant deseri9tian 9f Ia+rd. <br />(s} ij the labos awl raatesial ware #~~ tha cairtractar acid aot the a~rrcer direct; staate "tkat.:.. _....~:, <br />ivaa the toiarrtitnr on .sand bxifding and attirsg jar-tlu oenttr." <br />- {6) I~ close has beers gitrerr; say "seid- aNreexrri is j«rther eviderued by a ~. rata, ar ta¢y of ` sraFe=, <br />~ big ,''cse attatltad s~ rrrarkad `~rkibit B'." <br />w <br />