Form ID

Publication date

Location of premises

Certificate

to provide all labour, materials, tools, equipment and supervision required to complete the renovations at 390 Princess apartment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2044583 Ontario Inc.
Address of Owner
390 Princess Ave., London, ON N6B 2A9
Name of Contractor
2044583 Ontario Inc.
Address of Contractor
390 Princess Ave., London, ON N6B 2A9
Name of Certifier
Mark Duffy
Address of Certifier
102 Union Ave., Komoka, ON N0L 1R0

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

2044583 Ontario Inc., 102 Union Ave., Box 154, Komoka, ON N0L 1R0