Form ID

Publication date

Location of premises

Certificate

Construction of (1) one 5100 SF Montana’s Restaurant in Nepean, Ont.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Kelsey’s International Inc.
Address of Owner
450 South Service Rd., Oakville, Ont. L6K 2H4.
Name of Contractor
Horne Construction
Address of Contractor
5100 South Service Rd., Unit #3, Burlington, ON L7L 6A5

Identification of Premises

1711 Merivale Rd., Nepean, Ont. K2G 3K2.

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

259 Yorkland Road, Suite 300, Toronto, Ont. M2J 5B2.