Form ID

Publication date

Location of premises

Certificate

Masonry Repairs to South wall of Tower.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Church of Assumption
Address of Owner
Hwy 41 Erinsville, ON K0K 2A0
Name of Contractor
AJV Masonry Ltd.
Address of Contractor
32 Oke Road, Napanee, ON K7R 3M3.
Name of Certifier
Stantec Consulting
Address of Certifier
815 Princess Street, Kingston ON K7L 1G8

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

Mrs. Baker, Superior Court, 41 Dundas Street West, Napanee, ON K7R 1Z5