Form ID

Publication date

Location of premises

Certificate

21000 s.f. Body Shop

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Monteith Holdings Inc.
Address of Owner
19 Martine Crescent
Name of Contractor
Monteith Holdings Inc.
Address of Contractor
19 Martine Crescent
Name of Certifier
Ian S. Malcolm Architect
Address of Certifier
178 Bayfield St., Barrie

Identification of Premises

247 Tiffin Street

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

Simcoe County Registry Office