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<br />l:STSTRUC'110NS: <br />/t) tf the diem is ctainre"~ by a firm or cooperation, state hers that aunt is a naewtber of the firm or his <br />offitiat capotity in"{he,~rporation. <br />(aj Stala ftcre whether tierbal or xuritten contract. If written, attach copy, or lien is void. <br />f z) `!I;reetiota," "Canstruttivn,,, '<Alteration," or "Repair." cs the case :nay be. <br />'*~q± Heroi»sert correct legal description of land. <br />Si 'f t,§4~ ; ~bvr and nuzic'rial zi~ere furnisked the contractor-and not the owner dirett, state "that .................. <br />wa.r the contractor on said building and atting for the ozemer." <br />(6j If mote har been giz~n, say "said asxvisnt is further ezridented by a pramissory note, a ropy of-said note <br />bring hereto attached and sP.arked `F_xhibit :;'." <br />'a i o ~ ~ :I <br /> <br /> t- ~i 11 z <br /> t - <br />ii a <br />t <br />~ <br />~ ~ i <br />I <br />~ o, .~ <br /> ' ~ o <br /> ~ <br /> ~ <br /> H <br /> ~ ~ <br />w w <br /> ' <br /> <br /> <br /> <br />_, :~ <br />f ,~ , ry, <br />f d3 ~ Ay 'M - <br /> <br /> <br />