Form ID

Publication date

Location of premises

Certificate

Interior Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bluewater District School Board
Address of Owner
351 First Avenue North, Chesley, ON N0G 1L0
Name of Contractor
JP Acoustics (Owen Sound) Inc.
Address of Contractor
R.R. #2, Annan, ON N0H 1B0
Name of Certifier
Erdmann W. Knaack, Architect
Address of Certifier
R.R. # 4, Chatsworth, Ontario N0H 1G0

Identification of Premises

Bruce Peninsula District School 5 Moore Street, Lion’s Head, ON N0H 1W0

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

Bluewater District School Board, 351 First Ave. North, Chesley, ON N0G 1L0