Form ID

Publication date

Location of premises

Certificate

Supportive Housing Unit Conversion

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Cornwall & Area
Name of Contractor
David Beitz & Associates Inc.
Address of Contractor
16952 Headline Road West, Long Sault, ON K0C 1P0
Name of Certifier
Cornwall & Area Housing Corporation
Address of Certifier
1916 Pitt Street, Unit 11, Cornwall, ON K6J 5H3

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

Cornwall & Area Housing Corporation, 1916 Pitt Street, Unit 11, Cornwall, ON K6H 5H3