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1 <br />INST1Z11CTfONS: <br />(r) If tha lsen is claimed by a fmiri ar corparalion, state here that ajfiant u a member of the firm or his <br />official capacity sn the corporation. - <br />(s) Stan hers whether verbal or written contract. If written, attach cagy, or lien is void. <br />(3) ` "Ersctiois; , "Construction,» "Atleration," or `.Repair,,, as the case may be. <br />(~) Heia swear! correct legal descriptinw of land. <br />(sy !f tht labo- and material were fxrnishtd tke contractor and not the owner direct, state "that .................. <br />uwa the contractor on said building and acting far tke owner." <br />(tS) 1f note has been given, say "said amount is further evidenced by a ¢romrssory note; a copy of said note <br />being hardto ottathed aw8 marka~ `Esh76if B :" <br />i <br />`~ <br />ZN ~ o f <br /> ^ '# <br />~ ~ fw ~ 4: <br />F <br />"' <br />p ~ ~~ aim ~~ <br />r„ _ <br />a a <br />~~ <br /> <br />~~ ~ <br />--m~ -. <br />,~ <br />-- <br />.G= <br /> i <br />~ <br />~~ <br />~ ~- + <br /> <br />~: <br />' ~ = o ~u ~~~§, <br />33 ur cm <br />F <br />i <br />t.,_ <br />~~ ~.~ <br />'~ ~ '~ -~. <br />\~i ~ <br />n <br />}~~ <br />e <br />~. <br />