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ii5 ~f. ~~M3 tiJi~r.~3: <br />+'rj If tke t is rtia:srz$d by a ,iFm~m or r:rrporrmE: state ke~e tub ajar is mm me~tur~- ~ tf:~e x=ia~~;. ~,:r ~s.; <br />o~riat sa~cuity ~ tke rv~rpomattimrn. <br />(a,~ Stats Furs wttetker verbgd ar ~ritt~emm romm',tract. If z#oruttera, attarim rope, o~ ,iaen is rnoid. <br />(~) Ereetiars,,, :'~onstrucfion," "lttteration," or "Repair" as tine case nxay be. <br />(d) tears ssrt rorrert tegat descript~x of ts~€d. <br />(,~) If tka tabor acrd mvmatersad were furn-ishsd the contractor and not tke oaxer direct, state "that.___~.-_-..... <br />~t tke rommtractor an said budding and acting for the oz€~r." <br />{6) If Hate has been given, say "said anrnunt is further evidenczd by a pronmissory note, a rope of said note <br />beeng kersto attacked and marked `Exkibit B :" <br />