Form ID

Publication date

Location of premises

Certificate

Window replacements, kitchen hood ventilation upgrades and extension of existing garage

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Participation House Brantford
Address of Owner
Box 2048, 10 Bell Lane, Brantford, ON N3T 5W5
Name of Contractor
Lanca Contracting Limited
Address of Contractor
35 Bury Court, Unit #5, Brantford, ON N3S 0A9
Name of Certifier
WalterFedy
Address of Certifier
675 Queen Street South, Suite 111, Kitchener, ON N2M 1A1

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

Participation House Brantford, Box 2048, 10 Bell Lane, Brantford, ON N3T 5W5