Form ID

Publication date

Location of premises

Certificate

Construction of free-standing 5,000 sq. ft. restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Kelsey’s - Newmarket
Address of Owner
131 Whitmore Rd., Unit 20, Woodbridge, ON L4L 6E4
Name of Contractor
Same as owner
Address of Contractor
Same as owner
Name of Certifier
Chamberlain Construction Services Limited.
Address of Certifier
5096 South Service Road, Suite 103, Burlington, ON L7L 5H4

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

Kelseys - Newmarket, 131 Whitmore Rd., Unit 20, Woodbridge, ON L4L 6E4