Form ID

Publication date

Location of premises

Certificate

Construction of 5,000 sq. ft. free-standing restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1580425 Ontario Ltd.
Address of Owner
15 Laurier Rd., Penetanguishene, ON L9M 1G8
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 Road, Suite 103, Burlington, ON L7L 5H4

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

15 Laurier Rd., Penetanguishene, ON L9M 1G8