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r <br />~. ~--- <br />- F. <br />-i <br />}- <br />'. # <br />IIYST RUCTIONS: <br />(i} if lha lien is ctaitned by a firm or corporation, state bare that afjrant is a member of the firm or his <br />a~rciat capacity in the cerporatian. <br />(s} State flare xahether vrrbat or writ#en contrae#. If ;~ritten, attach co¢y, ar fiats u void. <br />~" F~} "Ertcliots," "Construrtiaw," "stttarotion," or 'Re(,air," as the sale Wray be. <br />' t' (,I} Mare insert correct kgat description of tend. <br />~~} 1~ t '-£,'r ' :~1 ware fn-''+-"-shed th? _rontractc~r arsd list the oumer d%rect, stela "that._....._..._.._ <br />was the contractor ore said ~nitding and acting for the ogaasr." <br />($} 1 f n€tts has b__•- give». say "`sand ast`°utsl es ftart her ctsdancad 8y a pratttsssary Hots, a copy. of said faofa <br />bait-g karate attached and marked `Exhibtil B :" <br />~ m o <n ~ <br />`. ~ - .. ` <br />ri ~i-._ ~~ y'n~tp~ <br />~ _ _ ~.,_ i t ~ C <br />`~ ~ -+5 { <br />~\ <br />3 <br />~, ~ ~ ~ <br />}~~~,a~ , <br />- ~~ ~*~~ <br />i <br />'~~ '_: <br />,~:.- . ~ <br />