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~; <br /> <br /> <br />I1VS~',RUCT':TONS: <br />fr) If ~` ~ ~' claimed by a firm or corporation, state here that aj~ant is a member of the j+rm or his <br />a~leiol eaparity in Eke rorposation. <br />(i) ,$'lata hers mnkatker verbal or wriltaff rontrart. tf written, attack copy, or lien is void. <br />(3} '<~iecfiioit' ' Coustrnction,,, "<4tteration,,, os „Repair," as t#e rasa shay be. <br />(4) Har'a iirtsart correct la~l dtsrri~tioei e~ taxd. <br />t~ X51 lj €ka loa®r aftd fvuatariai recta farnisked the cosrtrattvr and not tke aantar d€rert, state "t#at::_. ..:..:.:. <br />t~ e.;.~'~ar ~ -saw b4lsxg a;~ astsrsg !or ttu o^.sr." <br />i'dJ 1j fro€a her 6aes given, say ^saiaF arRaan€ is jr<rther exridessced by a promissory note, a ropy o#saiit note <br />~~~ b. #are#a attcrkrd asfd-market! `Exhibit B'." - <br />~~ - <br />~ ~ w <br /> <br />~ ~ r` `:' <br /> ~ <br /> n'S <br />~ ~ <br />~~ <br />m ~ ~ ©~.~; <br />=~~ <br /> <br />Vl/ X a ~ <br />idi 49 i,'J Q~ <br />`~. <br />x:, <br />"~ CS <br />E;, <br />+a -~ .s: <br />~ , ~} <br />~~ <br />~~ V <br />,-``~ <br />`~~ ~ ~ <br />~.v ~. ,~ <br />~~~ <br />~~~ <br />