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Notice hereby is given that the building, structure or other improvement on the following described premises, (insert the legal description of the property including the street address, if known) has been completed.
All persons claiming a lien upon the same under the Construction Lien Law hereby are notified to file a claim of lien as required by ORS 87.035.
Dated ______, 2__
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Original Contractor, Owner or Mortgagee
P. O. Address: ______
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ORS 87.045