Form ID

Publication date

Location of premises

Certificate

New 3-unit townhome construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Kevin Flood
Address of Owner
P.O. Box 118, Essex, ON N8M 2Y1
Name of Contractor
Kevin Flood
Address of Contractor
same

Identification of Premises

Pt Lt 3, Pl 54 Town of Sandwich PT 2 12R7807; Windsor

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

LRO Essex 12 on behalf of United Communities Credit Union, Essex