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INSTRUCTIONS: <br />(r) ff the lice u ttei~+esd 6p a Jinn or carporaiow, slats Rers that aff5aat is a -asrnber of the firMa or hes <br />4 ca}acily a the carporalioa, <br />(sj S#ats Jiar adYsthsr osrbui a wriustt caahact. If a~rittar, attach copq, or tisa is void. <br />(j j °~~" "Cowssarrtiow," °.glt:snt~e," a "Rsp~r," ae the case +aap be. <br />C#1 f3'ars i~areiti carol tea! dsrcriptiaw of load. <br />{gf if tJiw lab* aad ~w3sriel ewrs fw+eiulssd flu cowtxrutor sad aot the ozdasr dirsct, stab "that.:.,>.,...,,..... <br />tQat firs enatractor ow said bwtdiag uad acting for the otvasr." <br />(6j If -wets Aus bssa gieew, sap "said awroawt is farehsr s€~idsaced by a prm~abesory+wts, a copy of said sots <br />bsirpg 7ierrto attacJGsd and aiarlrsd 'Es/n.l#'.:' - ~,_-. - , <br />- - _ ~~ ~a -ter s -+r' -'f:~` _ .. <br />-~ ~ ~#i <br />~- ~ # <br />