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81002001
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Last modified
1/14/2010 11:59:54 AM
Creation date
1/14/2010 11:59:48 AM
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DEEDS
Inst Number
81002001
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INSTRUCTIONS: <br />_ (t) If the lien is claimed by a firm or corporation, state here that affiant is a member of trice firm or his <br />a"~tiad'capacity in the corporation. <br />(a) State here whether verbal or written contract. If written, attach copy, or lien is void. <br />(~) "Erection," "Construction," "Alteration,» ar "Repair," as the case may be. <br />(¢) Here insert correct legad description of land. <br />(g} If the labor and material were furnished the contractor and not the owner direct, state "that .................. <br />was the contractor an said building and acting for the owner." <br />(6} If Hate has been gdven, say "said amount is further evidenced by a promissory note, a copy of said note <br />being hereto attached and marked `Exhibit B'." <br />,~. _ ;_.ti <br />~-1"~ `" <br />~~ <br />en ~,y <br />c °~ ~ M <br />~ ~ <br />~ a <br />m <br />~- <br />~~ v <br />_' \ ~ <br />^; .~ ~ J <br />~ ~ ~ <br />~~:~,~ <br />~~ <br />
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