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INSTRL'CTIQNS: <br />jl) If tke dien is claimed by a firm or corporation, state kere that affiant is a member of the firm or his <br />ofjecial capacity in tke corporation. <br />(~) State keys wketksr verbal or written contract. If writte», attach copy, or lien is void. <br />(3) "Erection;' "Conrtruction," "Alteration," or "Repair," as the case may be. <br />(¢) Krss iruert correct legs! deserrptior, of land. <br />(5) If tke tabor and rnateriat were farnrsked tke contractor and not tke owner direct, stat¢ "tkat....:..:_......_ <br />w~ tks car¢traetar on said b~tding axd acting for the o~r." <br />(d) If Hate kas been given, say "said anwunt is further evidenced Ly a promissory note, a copy of card note <br />being hereto attached and marked `Eshibit B :" <br />~~ <br />v <br /> <br /> ~~ <br />+Ge'"t ~' o ~ ~ `~g <br />~~ } 1 ! ~ --~ o <br />_ <br />. ~ <br /> 1i ~ <br />~~ ~ i ~ ~= ~ ,~ <br /> ~ <br /> ~ <br />~~ <br />C ~ ~ <br />W <br />i <br />