Form ID

Publication date

Location of premises

Certificate

Construction of single family residential dwelling

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Richard David Schell and Julie Emily Elizabeth Schell
Address of Owner
90 Antonio Court, Leamington, ON
Name of Contractor
Richard David Schell
Address of Contractor
90 Antonio Court, Leamington, ON

Identification of Premises

Lot 52, Plan 12M-492 (90 Antonio Court, Leamington, Ontario)

Office to which claim for lien must be given to preserve lien

Land Titles Office (County of Essex) No. 12 at Windsor