Form ID

Publication date

Location of premises

Certificate

Heating and Air Conditioning of Upper Hall

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Chatsworth
Address of Owner
R.R. #1, Chathsworth, ON N0H 1G0
Name of Contractor
Ken Philp Plumbing and Heating Ltd.
Address of Contractor
128 Jason Street, PO Box 743, Owen Sound, ON N4K 5W9
Name of Certifier
Erdmann W. Knaack
Address of Certifier
396782 Concession 2, R.R. #4, Chatsworth, ON N0H 1G0

Identification of Premises

Township of Chatsworth, R.R. #1, Chathsworth, ON N0H 1G0

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

Township of Chatsworth, R.R. #1, Chathsworth, ON N0H 1G0