Form ID

Publication date

Location of premises

Certificate

Construction of (1) one 5000 SF Kelsey’s Restaurant in Burlington, ON

Date substantially performed:
Date certificate signed:

Participants

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

Identification of Premises

777 Guelph Line, Burlington, ON L7R 3N2

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

95 Wellington St., Suite 300, Toronto, ON M5J 2R2