Form ID

Publication date

Location of premises

Certificate

David Fisher Residence Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
KW Habilitation
Address of Owner
99 Ottawa St. S., Kitchener, ON N2G 3S8
Name of Contractor
Dakon Construction Ltd.
Address of Contractor
275 Frobisher Dr., Waterloo, ON N2V 2G4
Name of Certifier
Michael Trussell
Address of Certifier
24 Laurel St, Waterloo, ON N2J 2H2

Identification of Premises

995 Erbsville Rd. Waterloo, Ontario, N2J 3Z4

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

99 Ottawa St. S., Kitchener, Ontario N2G 3S8 (Attn: Ann Bilodeau)