Form ID

Publication date

Location of premises

Certificate

Exterior Repairs, Asphalt Shingle Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Logement Marguerite d'Youville Inc.
Address of Owner
176 Marguerite d'Youville St., Cornwall, ON K6H 7H4
Name of Contractor
Borchert's Construction
Address of Contractor
PO Box 835, Brighton, ON K0K 1H0
Name of Certifier
Roderick Lahey Architect Inc.
Address of Certifier
1501 Carling Avenue, Ottawa, ON

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

Corporation of City of Cornwall, 340 Pitt Street, Cornwall, Ontario