Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Houchaimi Holdings Inc.
Address of Owner
21 Hampel Crescent, Stittsville, ON K2S 1E4
Name of Contractor
Thomas Cavanagh Construction Ltd.
Address of Contractor
9094 Cavanagh Rd. Ashton, ON K0A 1B0
Name of Certifier
McIntosh Perry Consulting Engineers Ltd.
Address of Certifier
115 Walgreen Road, Carp, ON K0A 1L0

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

Municipality of Mississippi Mills, 3131 Old Perth Road, RR#2, PO Box 400, Almonte, ON K0A 1A0