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.,~,~.. <br /> <br />a:~srxl~c~~o~ls: <br />d, if ltu tier. is ctgix;ed_Gyi a fr+n ar corporatwn, state ieere tksxt a~iant is a mts+coer of the fxrssc or kin <br />v~~ s~z. iry tai fine zaf~zsra ~~€. <br />-f e~ "'~ ¢ ~•~^°~` l~rba' cr .suit#ez ros.4cct. : f tc~itter., a#ach copy, ar lden i-t 3toid. <br />(~) "E~a€iemsa, •`Cosrstr~s#~on, fliteration,<, ~ .`~apmirr'- os 8ke case s~cy 3e. <br />(~) Here invert torrent tegal deacriptioa of land. <br />(S~ If the labar and material were fxrnished the eontsaclar aaei rcvt the own¢r direct, state "tkat...-..-_..-....-- <br />uas the contractor on said b~ldiarg and acting for the owrser.,, <br />j tf) d} hale kaa been gem, s+ay "sas'd omorssFt ss fssrtker ezxderered by a pro»~aery no#e, a copy of .tadd tsote <br />beit-g hereto attached a+ed rxwked `Exhibit B': ' <br />~~ <br /> <br /> <br /> <br />~ <br />~ ~ ~ <br />~ <br />o <br />}-i <br />~ <br /> Y M <br /> <br /> <br /> ~ <br /> ~ ~ <br />~ <br /> <br /> <br />-: -S, <br />W _ u- <br />~ ~ <br />,,,~ ^1 Fw. <br />G.J <br />C?r <br /> __ ~ <br />v7 (3 _ <br />~ <br />i4 <br /> <br />:w ~ ~ <br />~. e to <br />k.y <br />t*..- '- iC <br />~~ _~ <br />J <br />8 <br /> ~' d ~~ <br /> T ce ' ti I! <br /> <br /> <br />'~ <br />O ~ i <br />. ~ <br />C <br /> ~ i i <br /> <br /> A <br /> ~ ~ <br /> y <br />r-~ `~--~ O~ ~ <br /> r d <br /> ~ S <br /> <br /> <br /> ' ~ o <br /> <br /> w ~ <br /> <br /> r <br /> 4 ~ ~ <br /> <br /> ~ ~ <br />- <br /> ~ <br /> _-. a .~ <br />I ~ 'P5 <br /> .~ 4z <br /> ~ <br />i ; <br />