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I:~STRUGTlt3R'S: <br />('J I f lice is c#aimed by a ,f~rrx or carparatiaR, state here that afkartt is a member of the firm ar his <br />o~ciat capacity in the corporation. <br />(21._ State bare ~tttether verbat or .tten contract. 1f urrittery, attach copy, or lien is void. ~ -- <br />(31 ~Erettion," "Gonstructiam," "fl'fteration," ar "Repair" as the case +nay bc. <br />(.11 Heire ifrtert correct fegat descriptian of land. <br />(51 1f tlta labor acrd rrteterial uwere fssrniskad the eonhactos and mat tke mr~ilar direct, slats"t#ats_ ..........:.... <br />#tias floe contractor on said building and aetisrg for the ozrmer:' <br />(6) d f xote has been ,gir+eR, say "said anronnt is further eviderated 6y a promsssory note, a copy of said cote <br />bedxg berets a#taihed and marked `Exhibit &' „ <br />