Form ID

Publication date

Location of premises

Certificate

Addition & Renovations to Gorge Country Kitchen Restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mr. John Xintavelonis
Address of Owner
23 Wellington Road, Elora, ON N0B 1S0
Name of Contractor
Zettel Fischer Contracting Ltd.
Address of Contractor
Box 758, Walkerton, ON N0G 2V0
Name of Certifier
Marsh Katsios Architect
Address of Certifier
4-520 Wellington Street, London, ON N6A 4R2

Identification of Premises

Lots 6, 7 & 8, Northeast side of Guelph Road, Plan 181, Part Lots 19 & 23, Southwest of Gemmell Street, Part 181, Elora being Part 1, 61R-7119 Township of Centre of Wellington, County of Wellington

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

Gorge Country Kitchen Restaurant, 23 Wellington Road, Elora, ON N0B 1S0