Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Holitzner Homes (1995) Inc.
Address of Owner
1300 Main Street, Stittsville, ON K2S 1A2
Name of Contractor
Vanson Construction Limited
Address of Contractor
5545 Albion Rd., Gloucester, ON K1X 1A2
Name of Certifier
Novatech Engineering Consultants Ltd.
Address of Certifier
77 Auriga Drive, Unit 17, Nepean, ON K2E 7Z7

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

Holitzner Homes (1995) Ltd., 1300 Main Street, Stittsville, ON K2S 1A2