Form ID

Publication date

Location of premises

Certificate

Building A & D

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Crawf Investments Limited
Address of Owner
3038 Carp Road, Carp, ON K0A 1L0
Name of Contractor
Frecon Construction Limited
Address of Contractor
1235 Concession Street, Russell, ON K4R 1E1
Name of Certifier
Dean Drevniok, P.Eng.
Address of Certifier
1235 Concession Street, Russell, ON K4R 1E1

Identification of Premises

Part Lot 8, Concession 2 Huntley being Part 2 on Plan 5R-1755

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

1235 Concession Street, Russell, ON K4R 1E1