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fNSTRUCTIONS: <br />(s) If the liea is cloirntd by a firm or corpora#ian, state here that affront is a member of the firm or his <br />o~kial capacity i+c the corporation. <br />(s) Stste here whetkar verbal or written rontract. If written, attach copy, or lien is void. <br />(gJ "Erection; , "Conshnction," "Alteration," or .`Repair," as the case may be. <br />({J Xere insert correct legal description of taxd. <br />(,~j /f the lobar and material purr }arnished the contractor and not the ovnter direct, state "Ehat......,,__.n,,.. ,_ -- <br />sa~s-the contractor on said hxilding a»d acting for the crsvner." <br />(tij If Hate has been given, say "said arnoant it farther evidenced by a pronastory note, a copy of said frail - <br />being Irerety attacked and marked `Erhibit B :" <br />~~ <br />`O Ly. <br />-~ <br />°_ ~ 1`t <br />~ i~.m <br />~ .-. <br />~ ;: ~ <br />~~ .~ ~ ~~ <br />e ~ to cfi <br />``' _ s <br />~~ - ~,. <br />~ c# i/ ~r ' <br />w <br />