Form ID

Publication date

Location of premises

Certificate

Addition to Church

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Church of Jesus Christ of Latter-Day Saints c/o Mark Stewart
Address of Owner
872 Sharpe Line, Cavan, ON L0A 1C0
Name of Contractor
Mirtren Contractors Ltd.
Address of Contractor
50 Nashdene Road, Unit 110, Scarborough, ON M1V 5J2
Name of Certifier
Erdmann W. Knaack Architect
Address of Certifier
R.R. #4, Chatsworth, ON N0H 1G0

Identification of Premises

Block B, Part of Block A, Registered Plan 127, Town of Newmarket Reg. Mun. of York

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

Mark Stewart, 872 Sharpe Line, Cavan, ON L0A 1C0