Form ID

Publication date

Location of premises

Certificate

Municipal Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
593091 Ontario Limited
Address of Owner
92 Erie Street North, PO Box 878, Wheatley, ON N0P 2P0
Name of Contractor
Henry Heyink Construction Limited
Address of Contractor
275 Colborne St., PO Box 1341, Chatham, Ont. N7M 5R9.
Name of Certifier
Dillon Consulting Limited
Address of Certifier
440 Park Avenue West, Catham, ON N7M 1X2

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

593091 Ontario Limited, 92 Erie Street North, PO Box 878, Wheatley, ON N0P 2P0