Form ID

Publication date

Location of premises

Certificate

Roofing & Siding

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Housing Corporation
Address of Owner
51 King St. E., Suite 206, Brockville, ON K6V 1A8
Name of Contractor
David Beitz & Associates Inc.
Address of Contractor
RR 1 Headline Rd. West, Long Sault, ON K0C 1P0
Name of Certifier
David Wallond
Address of Certifier
51 King St. E., Suite 206, Brockville, ON K6V 1A8

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

Leeds & Grenville Housing Authority, 51 King St. East, Suite 206, Brockville, ON K6V 1A8