Form ID

Publication date

Location of premises

Certificate

Interior Fitup of New Beer Store

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
La Cooperative Agricole D’Embrun Ltee.
Address of Owner
926 Notre Dame Street, Embrun, ON K0A 1W0
Name of Contractor
Terlin Construction Ltd.
Address of Contractor
6961 McKeown Drive, Greely, ON K4P 1A2
Name of Certifier
Stephen Jolley, The Dovetail Practice
Address of Certifier
1173 Sherwood Mills Bvld., Mississauga, ON L5V 1S8

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

La Cooperative Agricole DEmbrun Ltee., 926 Notre Dame St., Embrun, ON K0A 1W0