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1,1 t rSTR L G'T I fJ l+l S <br />_....,,. <br />(sJ if t;§c tleu u claimed by a firrx of cot~ipf~;,~,g.,h¢re-tFiat,u$iant is a member of the firm. of hit <br />` <br />1e,,, <br />~ city in the carporatian. <br />f~'.r~#aer verbal or written contract. If :written, attach copy, or lien is void. ` <br />'(aj tt~~` "#:atutrsutian," "~tlteratian," or "Repair,,' as the case may be. <br />#j ~~ ins~nCrtYYract legal description, o f lmrd_ <br />(5,1' If elia I°br~r"e~-'~ tnfftee"5a1 :ire frr~;rs~d l,~s eontractor and ~t the earner direct, state " that----.._.__ <br />_. <br /> <br />zees the ~vtfte~eeter err said buitding arid- actint,I for eF.e ar~,ner." <br />~ . <br />._ <br />_ <br />f~I If =rite font 8e`ex given, say "said amount is further evidenced by a promissory note, a co <br />k <br />~ py of said n to <br />gt»~, jteFeta <br />attached and marked 'Exhibit $'," <br />~~~ <br />~ <br /> <br />- ~\ <br /> V~ <br /> <br />c) `i ~ 1' <br /> <br />F ` <br />~ <br />of <br />. <br />' <br />~ <br />., <br />rh ~ <br />-' `~ "#, .~ 1. iUr~. <br />_""'~ii,,,,_.i~~y~„~~~~ <br />~y <br /> <br /> <br />r- {~ ~+~ -`yy <br />cn ea ao <br />a <br /> l~ <br />~ <br />a <br /> <br />v ~ <br /> ~ O <br /> <br /> x <br />p a <br />c <br />'v ~ °~ <br />:i <br />4 , <br />g <br />b ~ _ <br />S ~ w <br />-~ <br />~' <br />'\ <br />