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INSTRUCTIONS: <br />(Z) If the then is claimed by a firm or corporation, state here that affiant is a member of the firm or his <br />offuial capacity ix the corporation. <br />fit) State bare whether verbal ar written contract. If written, attach copy, or lien is void. <br />(3) Erection,» "Construction,,, "Alteration,,, or "Repair,» os the case may b~- <br />~, (¢) FI`ste insert correct legal destriptias< of land. <br />`(3) If etta labor acrd material were fundshed the contractor and not the owner direct; state "that :........:..::..:. <br />2vas .the tontractor on said building and acting for- the owner." <br />jb) 7f note has becn given, say "said amount is further evidenced by a promissory note, a copy of said-note <br />being hereto altochea. and marked `Eshibit B'." <br />~~ -, - , - <br />~~ <br />c) <br />c ~~ ~ to - - <br />`~ +~s <br />x .e <br />o <br />~'~ ~ m C. <br />L: -. <br />• <br />n <br />f <br />