Form ID

Publication date

Location of premises

Certificate

Construction of (1) one 5000 SF Kelsey’s Restaurant in Nepean, Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Kelsey’s International Inc.
Address of Owner
450 South Service Road, Oakville, ON L6K 2H4
Name of Contractor
Horne Construction
Address of Contractor
5100 South Service Rd., Unit #3, Burlington, ON L7L 6A5

Identification of Premises

1 Royden Place, Nepean, ON K2E 1A3

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

2660 Southvale Crescent, Suite 316-K, Ottawa, ON K1B 4W5