Form ID

Publication date

Location of premises

Certificate

Interior reconstruction, changed from bowling ally to Church

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Antioch Christian Ministries Inc.
Address of Owner
455 County Rd. 34, RR1, Essex, ON N8M 2X5
Name of Contractor
Bay Shore Construction
Address of Contractor
140 Seacliff West, Leamington, ON N8H 3Y5

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

455 County Rd. 34, RR1, Essex, ON N8M 2X5