Form ID

Publication date

Location of premises

Certificate

Roadworks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Emmanuel Baptist Church
Address of Owner
c/o Ted Handy & Associates, 76 Mary St., Barrie, ON L4N
Name of Contractor
Harnden & King Construction Inc.
Address of Contractor
701 Dunlop Street West, Barrie, ON L4N 9W9
Name of Certifier
Skelton, Brumwell & Associates Inc.
Address of Certifier
93 Bell Farm Rd., Suite 107, Barrie, ON L4M 5G1

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

Skelton, Brumwell & Associates Inc.