Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bruce County Housing Corporation c/o Tony Ban
Address of Owner
325 Lambton Street, Box 1450, Kincardine, ON N2Z 2Z4
Name of Contractor
AllenHastings Limited
Address of Contractor
28 Birch Road, RR#1, Miller Lake, ON N0H 1Z0
Name of Certifier
David James Diebel Architect
Address of Certifier
P.O. Box 18, Tara, ON N0H 2N0

Identification of Premises

BCHC Ivings Drive Apartments, 539 Ivings Drive, Port Elgin, ON

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

Bruce County Housing Corporation c/o Tony Ban 325 Lambton Street, Box 1450, Kincardine, ON N2Z 2Z4