Form ID

Publication date

Location of premises

Certificate

Renovation and new construction for Tepperman’s Furniture store

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Grand Gold Incorporated
Address of Owner
535 Grand Avenue East Chatham, ON
Name of Contractor
Grand Gold Incorporated
Address of Contractor
535 Grand Avenue East Chatham, ON

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

P.O. Box 160 Chatham, ON N7M 5K3 7659 Queens Line Chatham