Form ID

Publication date

Location of premises

Certificate

Ridgetown College,

Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation.
Address of Owner
900 Highbury Ave., London, Ont.
Name of Contractor
Keller Roofing & Sheet Metal Inc.
Address of Contractor
206 Victoria St. W., Exeter, ON N0M 1S2

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

Ontario Realty Corporation, 900 Highbury Ave., London.