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<br />-~ rr~:~~~~P~`rPr~1~J~: <br />ft) Pf tE~c ti,tas is ttaimed r"vy a frsyx or rorporatioea, state Caere tdust a~"sant is ¢ merarber of tdae ;rsrnx ror Dais <br />aria) ta;~rrity a%rc tks cor~Crntd3xe. <br />• (,s): S'tats bars mTuttrar verbal or written coatroct. If wri#tsx, attach copy, or tiex is void. <br />(3) "Ltrettiox," "Constrsrctioa;' "ttlteration," or "Repo~x" as the case raav be. <br />~f¢) ffeis iskrert correct legal descriptian of land: <br />(g) 7f tke tabor acrd material were furxdahed the cantractor axd scot-the awxer dirett, state "tlrat......,._........ <br />was tke contractor on sand buslsixg acrd acting far the awntr." <br />(8j Ff naje tress been riven, say "said amount is further evidenced by a promissory note, a copy of said note <br />bei,rg licreto attached axd marlesd `Exisilrit B' <br />~~ <br />ai <br />~ <br />~ ~ ~ <br />~_ ~ ~ ~ <br />E ' < ~' <br />SG N <br />Z~ ar ~ ~ <br />Q ~ L.K. ~ 2'S. <br /> <br />~ ~: F.s -d- <br />-~' C 'L - C7! <br />- <br />49 ~.. .~+ tL `.. <br />~ <br /> Q ~i <br /> a.oiJ <br /> $ - <br /> v <br />~~ SJ E~ <br /> <br />c^. <br />, w <br />~. <br />,9 <br />qy ,' l:.: <br />lw ~*\s~ <br />;~i <br />~~ ' <br />~_ `~ <br />~'^ <br />~~ <br />~~ <br />