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INS?RUETIONS: <br />fit) If th= £en is clainud by a firm or corporation, state here that agiant is a member of the firm ar his j <br />o~icett capacity ix the corporation. /~~(~t(1 <br />(sj State-lure s~kethcr verbal ar avratten contract. If :written, attach copy, ar liea is void. ~`~ <br />(,i) "Ereetie»; , "Conatr~cciion " ,•rttteration,•, or "I2e$air," as the case may be. ` b <br />(¢J Ileie insert eorrect legal description of land. <br />{g) I f tke Tabor and material were frrni.thed the contractor and not the owner direct, mate "that _..___._.... <br />_ ~ xust the contractor on said brdlding and actieg far the mcmcl°," ~~ <br />~~ !+5) ?f -Hate has bees given, say "said antoatnt is further eeddenced by a promissory Hate, a copy of avid to <br />,..~~ being hereto attached and marked '~xhinis` r? :" <br />`\l~ <br />J <br />~~ <br />_ ~n <br />~~ ~ ~ ~ f' <br />~~ ~ ~ _~ <br />~~ <br />~ ~ ~ ~ ~ ~, <br />,~, ~ ~ as <br />