Form ID

Publication date

Location of premises

Certificate

Construction of (1) 5100 SF Montana’s Restaurant in Mississauga, Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Kelsey’s International Inc.
Address of Owner
450 South Service Rd. W., 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

2575 Eglinton Ave. W., Mississauga, Ontario

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

20 Queen St. W., Toronto, ON M5H 3R4