Form ID

Publication date

Location of premises

Certificate

Renovation and addition of an existing residential home into a medical building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1687799 Ontario Inc.
Address of Owner
211 Lover Lane, Ancaster, ON
Name of Contractor
Same as Owner
Address of Contractor
Same as Owner
Name of Certifier
Chamberlain Construction Services Limited
Address of Certifier
5096 South Service Rd., Burlington, ON L7L 5M4

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

211 Lovers Lane, Ancaster