Form ID

Publication date

Location of premises

Certificate

Service Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Interfaith Homes
Address of Owner
19 Lesmill Road, Toronto, ON M3B 2T3
Name of Contractor
Arcon Electric Ltd.
Address of Contractor
1065 Clarke Road, London, ON N5V 3B3
Name of Certifier
Chorley & Bisset Ltd.
Address of Certifier
2B-369 York Street, London, ON N6B 3R4

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

Interfaith Homes