Form ID

Publication date

Location of premises

Certificate

Addition and Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Cosella-Dorken Products Inc.
Address of Owner
4655 Delta Way, Beamsville, ON L0R 1B4
Name of Contractor
Abcott Construction Ltd.
Address of Contractor
124 Garden Ave., Brantford, ON N3S 7W4
Name of Certifier
Cianfrone Architect Inc.
Address of Certifier
172 John Street, Hamilton, ON L8N 2C4

Identification of Premises

4655 Delta Way, Beamsville, Ontario L0R 1B4

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

4655 Delta Way, Beamsville, Ontario L0R 1B4