Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of North Frontenac
Address of Owner
6648 Road 506, Plevna, ON K0H 2M0
Name of Contractor
National Structures 2011 Inc.
Address of Contractor
15 Kellwood Crescent, Napanee, ON K7R 4A1
Name of Certifier
D.M. Wills Associates Limited
Address of Certifier
150 Jameson Drive, Peterborough, ON K9J 0B9

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

Corporation of the Township of North Frontenac, 6648 Road 506, Plevna, Ontario K0H 2M0; Attn: Township Clerk