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<br />INSTRUCTI0:1~'S: <br />tt) If tke Idevc is ctaix:ed bg~ a ftrm or corporatiox, state hers that a~iaxt is a member of the firm or his <br />o~iad capacity in tRe corporatiax. <br />(a) State bars whether verbad or written contract. If writtex, attach copy, or liex is void. <br />F31 "Erectiox;" "Coxstruetion," `:4lterafian," ar "Repair," as the core pray ba. <br />f¢) Hoe insert correct degad dascriptiox of taxd. <br />(g) If tke labor and materiad arare 'eErxished the contractor oxd not the owner direct, state "tkat:...:_........... <br />~\ was flee contractor ox said buildixg and actixg for the owxar." <br />($) If note kas bcex given, soy "said asneunt is fttreher e-.ridenced by a pratxitsory Hots, a espy of said Hate- <br />,: ~~ beixg hereto attacked and marked `Exhid~t B :" <br />(~ <br />`~ <br />~~ <br />p~~ ~ oa - <br />C~^ { N `. <br />erg ~w ~yx~~i! c+~ tr' J n'-° -~ ~~ ~ - ~._ - <br />~T ryq r = ~ l a.:y z -. <br />Ls _' v a v `~ <br />vl :J r~ <br />