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<br /> <br /> <br />rxsrrrrrcrroNS: <br />(r) rf the tis» is elai„-id by a fir+n or carporatJon, sMte Ness that a~fa„! +s a member of the firm or his <br />o~eiiat eapatity iK the corporation. <br />' (t) 5tat? Mt-i sdAether wrbat or xrraCtarE eontnast. If w-ittsn, attach copy, or lien is void. <br />(3) r3ree~son;" "Codstrxetiar-," "elttsratiate,' or''°Rspair," as the case may be. <br />(+) H+i a~is-t courser kgat dssardptro~~ of CaNd. <br />fS) r# tks a~ riat toes ftas~shad ths: 6ontractor and net tha-ou+nar direst, state "that :.:.. ......... <br />sear tfii co>ttiaetar oA said b~tdiRrg aid aetirrg for-the ounurr." <br />(6} rf Hots lws beset gitien; my "said anroaoet is fnrthtr evidented by a ¢romitsory »ots, a copy of said Hate <br />6ei "hereto attarl~sd" and" markird `fi~htbie B°" <br />~ ,.-. n r*s" ~~ ism <br />MME' • ~r~tt:3a~* <br />.. ~ ~~ <br />\' <br />~t <br />do- ~a <br />~ <br />F' ~.-. <br />~ ~ <br />a <br />S <br />.. ~ <br /> <br />Cl ~ <br />as <br />- ~'_~~ <br />' <br />6- o w <br />~. 4 G <br />w <br />t .~ ! f 2 <br />.~~o`a +- ~- <br />i~ <br />Z ~ N <br />I ~ C7 u v <br />°O- Q y <br />F- ' ~ <br />~ 3 .w. <br /> <br />~t g Y~ <br />W u~ ~ A <br />b <br />