Form ID

Publication date

Location of premises

Certificate

Construction of 4-Plex and associated servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dave Sweeney
Address of Owner
5 Bessie Ave North Trent Lakes
Name of Contractor
Coachlamp Homes
Address of Contractor
5 Bessie Ave North Trent Lakes

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

5 Bessie Ave North Trent Lakes Po Box 576 K0M 1A0