Form ID

Publication date

Location of premises

Certificate

Livestock Covered Shelter

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Andy & Shelley Livingston
Address of Owner
7547 Highway 11/17
Name of Contractor
Syncor Contracting Limited
Address of Contractor
840 Pole Line Road, Murillo, ON P7K 0T8

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

7547 Highway 11/17